VAN DER WATT PROSTHETICS & ORTHOTICS (NPI# 1063930246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063930246 |
| Entity Type | Organization |
| Organization Name | VAN DER WATT PROSTHETICS & ORTHOTICS |
| Practice Address |
11 N. Main St. Greenwood AR 72936 |
| Mailing Address |
Po Box 843 Greenwood AR 72936-0843 |
| Practice Telephone | 4793571840 |
| Practice Fax Number | 4793571839 |
| Mailing Telephone | 4793571840 |
| Mailing Fax Number | 4793571839 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| Authorized Official Name | MR. FRANCOIS J VAN DER WATT (OWNER) |
| Authorized Official Telephone | 4793571840 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VAN DER WATT PROSTHETICS & ORTHOTICS, LLC | 11 N Main St, Greenwood, AR 72936 |
| Street Address |
11 N. MAIN ST. |
| City | GREENWOOD |
| State | AR |
| Zip Code | 72936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376022988 | Sonja Kay Cooper | Pharmacist | 2708 Old Chismville Rd, Greenwood, AR 72936 | 2018-08-14 |
| 1225585201 | Henry Counseling Services | Marriage & Family Therapist | 105 North Main St., Greenwood, AR 72936 | 2016-09-07 |
| 1720316235 | Sports Plus Physical Therapy | Physical Therapist | 250 Old Hackett Road, Greenwood, AR 72936 | 2009-11-20 |
| 1285812255 | Lisa Jan Bohne Clay | Psychologist | 2711 Shadow Lake Dr, Greenwood, AR 72936 | 2008-02-01 |
| 1366639684 | Rhonda Michele Barnes | Social Worker | 300 Westwood Ave, Greenwood, AR 72936 | 2007-10-01 |
| 1619018793 | Robert Gary Mack II | Contractor | 2712 Edgewater Drive, Greenwood, AR 72936 | 2007-02-09 |
| 1003963075 | Brent Wade Dunavin | Dentist | 7 W Center Street, Greenwood, AR 72936 | 2007-01-04 |
| 1891851804 | James A Burgess Jr. | Dentist | 7 West Center, Greenwood, AR 72936 | 2006-12-28 |
| 1467512079 | Terrell Wayne Bailey | Dentist | 520 Hamilton Lane, Greenwood, AR 72936 | 2006-12-12 |
| 1801808837 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 1530 W Center, Greenwood, AR 72936 | 2006-08-11 |
| Find all providers in zip 72936 | ||||
| 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 |
|---|---|---|---|---|
| 1982141115 | Debras Hair Studio LLC | Prosthetic/Orthotic Supplier | 1516 Bypass 72 Ne Ste D, Greenwood, SC 29649 | 2017-01-25 |
| 1851737142 | Transcend Orthotics & Prosthetics, LLC | Prosthetic/Orthotic Supplier | 595 S Emerson Ave, Suite 300, Greenwood, IN 46143-1951 | 2013-05-14 |
| 1194042267 | Kenney Orthopedics Indianapolis, LLC | Prosthetic/Orthotic Supplier | 521 E County Line Rd Ste B, Greenwood, IN 46143-1066 | 2010-04-28 |
| 1750388013 | Faith Prostheitc-orthotic Services | Prosthetic/Orthotic Supplier | 303 W Alexander Ave, Ste I, Greenwood, SC 29646-4078 | 2005-07-01 |
| 1629405535 | Advanced Orthopro, Inc. | Prosthetic/Orthotic Supplier | 916 E Main St, Greenwood, IN 46143-1538 | 2013-10-09 |
| 1245536424 | Advanced Biomechanical Solutions | Prosthetic/Orthotic Supplier | 1513 Montague Avenue Ext, Greenwood, SC 29649-9030 | 2011-02-04 |
| 1043471006 | John Sprouse | Prosthetic/Orthotic Supplier | 1513 Montague Avenue Ext, Greenwood, SC 29649-9030 | 2008-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028371 | West Orthotics, LLC | Prosthetic/Orthotic Supplier | 2711 S Caraway Rd Ste B, Jonesboro, AR 72401-7334 | 2020-09-22 |
| 1114547528 | Chelsea N. Briggs | Prosthetic/Orthotic Supplier | 4601 S Main St Apt 514, Pine Bluff, AR 71601-7482 | 2020-04-26 |
| 1184244600 | Chelsea Briggs | Prosthetic/Orthotic Supplier | 601 S Main St Apt 514, Pine Bluff, AR 71601 | 2020-04-24 |
| 1457832354 | Celebrity Styles Inc. | Prosthetic/Orthotic Supplier | 7 Shackleford Plz, Little Rock, AR 72211-1826 | 2018-08-28 |
| 1184104309 | Prosthetic One | Prosthetic/Orthotic Supplier | 11908 Kanis Rd Ste G7, Little Rock, AR 72211-3773 | 2018-08-16 |
| 1376036962 | David A. Yates & Associates, Inc. | Prosthetic/Orthotic Supplier | 2103 S 54th St Ste 1, Rogers, AR 72758-8126 | 2018-06-08 |
| 1831629070 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 612 Office Park Dr, Bryant, AR 72022-7519 | 2017-06-19 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| 1952774259 | Maranda Watkins | Prosthetic/Orthotic Supplier | 601 S 21st St, Fort Smith, AR 72901-3914 | 2015-11-09 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
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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.