ORTHOTIC SPECIALISTS, INC (NPI# 1093717365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093717365 |
| Entity Type | Organization |
| Organization Name | ORTHOTIC SPECIALISTS, INC |
| Practice Address |
2650 E Mcdowell Rd Phoenix AZ 85008 |
| Mailing Address |
2650 E Mcdowell Rd Phoenix AZ 85008-3658 |
| Practice Telephone | 6022631010 |
| Practice Fax Number | 6022637473 |
| Mailing Telephone | 6022631010 |
| Mailing Fax Number | 6022637473 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | BARBARA BOUTIN (PRESIDENT) |
| Authorized Official Telephone | 6022631010 |
| Authorized Official Credential | C.O. CO(C) |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 07619391X | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 723032 | 01 |
| AZ | BCBSAZ | AZ0278680 | 01 |
| Street Address |
2650 E MCDOWELL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295255123 | Edith Jaime Armendariz | Speech-Language Pathologist | 2650 E Mcdowell Rd, Phoenix, AZ 85008-3658 | 2017-06-21 |
| 1851846737 | Tracie Dahl | Occupational Therapist | 2650 E Mcdowell Rd, Phoenix, AZ 85008-3658 | 2016-08-20 |
| 1831578814 | Nikki Robinett | Physical Therapist | 2650 E Mcdowell Rd, Phoenix, AZ 85008-3658 | 2015-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| 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 |
|---|---|---|---|---|
| 1083254528 | Active Life Orthotics and Prosthetics Corp | Prosthetic/Orthotic Supplier | 3811 E Bell Rd Ste 112, Phoenix, AZ 85032-2158 | 2020-01-13 |
| 1629539275 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 4001 N 3rd St Ste 405, Phoenix, AZ 85012-2065 | 2019-03-27 |
| 1548787930 | Limb Center LLC | Prosthetic/Orthotic Supplier | 3020 N 44th St, Phoenix, AZ 85018-7206 | 2017-08-25 |
| 1003341959 | Team Makena LLC | Prosthetic/Orthotic Supplier | 3702 E Roeser Rd, 4, Phoenix, AZ 85040-9046 | 2017-04-28 |
| 1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1750693982 | Orthotic & Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 236 E Hatcher Rd, Phoenix, AZ 85020-2423 | 2010-07-02 |
| 1942409487 | Barbara Goldstein | Prosthetic/Orthotic Supplier | 5350 N 16 St, 101, Phoenix, AZ 85016-3213 | 2007-07-14 |
| 1386786614 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 3636 N 3rd Ave, Suite 100, Phoenix, AZ 85013-3904 | 2007-02-13 |
| 1386718260 | Hanger Prosthetics & Orthotics West Inc | Prosthetic/Orthotic Supplier | 4050 E Cotton Center Blvd, Suite 60, Phoenix, AZ 85040-8861 | 2006-11-20 |
| 1275605461 | Medsource Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 9305 W. Thomas Rd, Suite 150, Phoenix, AZ 85037 | 2006-11-14 |
| Find all providers in PHOENIX | ||||
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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.