ARK VALLEY ORTHOTICS AND PROSTHETICS, LLC (NPI# 1053551432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053551432 |
| Entity Type | Organization |
| Organization Name | ARK VALLEY ORTHOTICS AND PROSTHETICS, LLC |
| Practice Address |
9727 Shannon Woods Suite 180 Wichita KS 67226-4102 |
| Practice Telephone | 3166308420 |
| Practice Fax Number | 3166300410 |
| Mailing Telephone | 3166308420 |
| Mailing Fax Number | 3166300410 |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-06-30 |
| Authorized Official Name | MR. JASON TANNER (OWNER) |
| Authorized Official Telephone | 3166308420 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
9727 SHANNON WOODS SUITE 180 |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740463991 | Kim Michelle Yearout | Physical Therapist | 9727 Shannon Woods, Wichita, KS 67226-4102 | 2007-12-11 |
| 1922395912 | Amy S Wiebe | Physical Therapist | 9727 Shannon Woods, Wichita, KS 67226-4102 | 2011-06-29 |
| 1235432329 | Sherry Annette Bahr | Registered Nurse | 9727 Shannon Woods, Suite 120, Wichita, KS 67226-4102 | 2010-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
| Find all providers in zip 67226 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073742128 | Size and Fit, LLC | Prosthetic/Orthotic Supplier | 1720 N Webb Rd, Suite 110, Wichita, KS 67206-3417 | 2009-07-10 |
| 1013164706 | Aleta's Bras & Lingerie | Prosthetic/Orthotic Supplier | 5601 E Central Ave, Suite A, Wichita, KS 67208-4245 | 2008-08-25 |
| 1255520870 | Peeples Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 5400 E Central Avenue, Suite 120, Wichita, KS 67208-4100 | 2007-10-19 |
| 1033242243 | Karin Maj Rieger | Prosthetic/Orthotic Supplier | 3107 E Central, Wichita, KS 67214 | 2007-03-14 |
| 1104963453 | The Wig Lady | Prosthetic/Orthotic Supplier | 4017 W 13th, Wichita, KS 67212 | 2007-01-30 |
| 1992719330 | Cornell Orthotics & Prosthetics Entp. LLC | Prosthetic/Orthotic Supplier | 6108 W Central Ave, Wichita, KS 67212-2844 | 2006-07-29 |
| 1467479899 | Jwm Medical Inc | Prosthetic/Orthotic Supplier | 9727 E Shannon Woods Cir, Suite 180, Wichita, KS 67226-4102 | 2006-07-15 |
| 1083668024 | Personal Image Inc. | Prosthetic/Orthotic Supplier | 1905 N Maize Rd, Wichita, KS 67212-5203 | 2006-05-22 |
| 1669441796 | Capitol Orthopedic Inc. | Prosthetic/Orthotic Supplier | 9727 Shannon Woods Ste 140, Wichita, KS 67226-4102 | 2006-03-14 |
| 1215905609 | Progressive Orthotic & Prosthetic Services, Inc. | Prosthetic/Orthotic Supplier | 1150 N Saint Francis St, Wichita, KS 67214 | 2006-03-10 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.