NORTHEAST ORTHOTICS & PROSTHETICS, INC. (NPI# 1124399084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124399084 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ORTHOTICS & PROSTHETICS, INC. |
| Practice Address |
765 Allens Ave Suite 250 Providence RI 02905-5443 |
| Practice Telephone | 4014378016 |
| Practice Fax Number | 4014378923 |
| Mailing Telephone | 4014378016 |
| Mailing Fax Number | 4014378923 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-11-09 |
| Authorized Official Name | MARK STEVEN MARICH (OWNER) |
| Authorized Official Telephone | 4014378016 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | CO00011 | RI | Suppliers |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CPO00018 | RI | Suppliers |
| Street Address |
765 ALLENS AVE SUITE 250 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-5443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275595993 | Marcy Atkins | Psychologist | 765 Allens Ave, Providence, RI 02905-5443 | 2006-04-06 |
| 1851905426 | Andrew Visconti | Nurse Practitioner | 765 Allens Ave, Providence, RI 02905-5443 | 2020-09-01 |
| 1003452913 | Beverly Casinelli | Nurse Practitioner | 765 Allens Ave, Providence, RI 02905-5443 | 2019-11-26 |
| 1184287393 | Miranda Davis | Occupational Therapist | 765 Allens Ave, Providence, RI 02905-5443 | 2019-04-15 |
| 1114490737 | Amanda Sherman | Physical Therapist | 765 Allens Ave, Providence, RI 02905-5443 | 2019-01-07 |
| 1659854438 | Kellie Fokin | Physical Therapist | 765 Allens Ave, Providence, RI 02905-5443 | 2018-09-08 |
| 1396258919 | Jenna Mojkowski | Physical Therapist | 765 Allens Ave, Providence, RI 02905-5443 | 2017-11-06 |
| 1669992236 | Paula Kleniewski | Physical Therapist | 765 Allens Ave, Providence, RI 02905-5443 | 2017-06-23 |
| 1306375498 | Julianne Marie Tocchio | Physical Therapist | 765 Allens Ave, Providence, RI 02905-5443 | 2017-06-12 |
| 1790221232 | Lifespan Corporation | Rehabilitation Hospital | 765 Allens Ave, Providence, RI 02905-5443 | 2017-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| 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 |
|---|---|---|---|---|
| 1699795450 | Foot Central Usa | Prosthetic/Orthotic Supplier | 1 Richmond Sq Ste 147n, Providence, RI 02906-5136 | 2006-07-21 |
| 1114943503 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 6 Providence Pl, Providence, RI 02903-1739 | 2006-07-15 |
| 1649232992 | A Fitting Experience | Prosthetic/Orthotic Supplier | 266 Waterman St, Providence, RI 02906-5203 | 2006-04-03 |
| 1356343651 | Northeast Orthotics and Prosthetics Inc | Prosthetic/Orthotic Supplier | 2 Dudley St, Ste 161, Providence, RI 02905-3236 | 2005-06-01 |
| 1487287280 | Lepoer Podiatry, Inc. | Prosthetic/Orthotic Supplier | 1 Randall Sq Ste 408, Providence, RI 02904-7405 | 2020-02-20 |
| 1376690982 | Orthopedic Appliance & Brace Center Inc. | Prosthetic/Orthotic Supplier | 280 Broadway, Providence, RI 02903-3007 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386192037 | Rhode Island Limb Co Inc | Prosthetic/Orthotic Supplier | 2850 S County Trl, Unit 3, East Greenwich, RI 02818-1748 | 2016-09-12 |
| 1619224789 | Rhode Island Limb Co Inc | Prosthetic/Orthotic Supplier | 59 Prospect St, Suite B, Pawtucket, RI 02860-4482 | 2012-08-08 |
| 1467707976 | David Richard Papazian | Prosthetic/Orthotic Supplier | 1726 Smith St, North Providence, RI 02911-2353 | 2012-07-20 |
| 1851668529 | South County Artificial Limb Co., Inc. | Prosthetic/Orthotic Supplier | 265 Mendon Rd, Woonsocket, RI 02895-2410 | 2011-11-25 |
| 1063607752 | Ocean Orthopedic Services, Inc. | Prosthetic/Orthotic Supplier | 333 School St Ste 203, Pawtucket, RI 02860-5336 | 2007-09-06 |
| 1093870743 | Pedorthic Technologies Inc | Prosthetic/Orthotic Supplier | 285 Park Ave, Cranston, RI 02905-1241 | 2006-12-23 |
| 1053473959 | Northeast Pedorthics and Dme LLC | Prosthetic/Orthotic Supplier | 999 Warwick Ave, Warwick, RI 02888-3646 | 2006-12-15 |
| 1073610721 | Comfort Zone Shoes and Footbeds LLC | Prosthetic/Orthotic Supplier | 880 E Main Rd, Portsmouth, RI 02871-2340 | 2006-09-17 |
| 1578507943 | New England Orthopedics, Inc | Prosthetic/Orthotic Supplier | 220 Toll Gate Rd, Warwick, RI 02886-4418 | 2006-06-16 |
| 1538164686 | Next Step Bionics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 300 Metro Center Blvd, Ste 215, Warwick, RI 02886-1710 | 2005-06-16 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
Please comment or provide details below to improve the information on NORTHEAST ORTHOTICS & PROSTHETICS, INC..
| 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.