ACTIVE ORTHOTICS & PROSTHETICS, LLC (NPI# 1073904603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073904603 |
| Entity Type | Organization |
| Organization Name | ACTIVE ORTHOTICS & PROSTHETICS, LLC |
| Practice Address |
1333 S Allen St State College PA 16801-5944 |
| Practice Telephone | 8142310451 |
| Practice Fax Number | 8142311817 |
| Mailing Telephone | 8142310451 |
| Mailing Fax Number | 8142311817 |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |
| Authorized Official Name | DR. CHRISTINE ELIZABETH WEIKERT (OWNER) |
| Authorized Official Telephone | 8142310451 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224L00000X | Pedorthist | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1333 S ALLEN ST |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-5944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831173897 | Christine Elizabeth Weikert | Podiatrist | 1333 S Allen St, Suite 4, State College, PA 16801-5944 | 2005-12-02 |
| 1457385395 | Christine E Weikert Dpm PC | Durable Medical Equipment & Medical Supplies | 1333 S Allen St, Suite 4, State College, PA 16801-5944 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] 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 |
|---|---|---|---|---|
| 1780240911 | Cassia Chitla | Pedorthist | 2001 Waterdam Plaza Dr Ste 208, Mc Murray, PA 15317-5416 | 2019-05-13 |
| 1104161009 | Sandra Kapp Kapp | Pedorthist | 115 Kapp Dr, Cowansville, PA 16218-1809 | 2012-12-03 |
| 1457991655 | Beth Hogan | Pedorthist | 290 E Pomfret St, Carlisle, PA 17013-2579 | 2020-01-15 |
| 1518492719 | Michael Egan | Pedorthist | 300 Alpha Dr, Pittsburgh, PA 15238-2908 | 2017-04-25 |
| 1952797359 | Sandra Shlotzhauer Turner | Pedorthist | 290 E Pomfret St, Carlisle, PA 17013-2579 | 2015-04-13 |
| City | STATE COLLEGE |
| Zip Code | 16801 |
Please comment or provide details below to improve the information on ACTIVE ORTHOTICS & PROSTHETICS, LLC.
| 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.