INDEPENDENCE PROSTHETICS-ORTHOTICS, INC. (NPI# 1134482169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134482169 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE PROSTHETICS-ORTHOTICS, INC. |
| Practice Address |
1500 S Christopher Columbus Blvd Floor 2 Philadelphia PA 19147-5504 |
| Mailing Address |
31 Meadowood Dr Newark DE 19711-7202 |
| Practice Telephone | 2152719476 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2016-10-27 |
| Authorized Official Name | JOHN HORNE (PRESIDENT) |
| Authorized Official Telephone | 3023699476 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194022277 | Independence Prosthetics-orthotics, Inc. | Prosthetic/Orthotic Supplier | 213 E Plank Rd, Altoona, PA 16602-4172 | 2011-02-25 |
| 1649309972 | Independence Prosthetics-orthotics, Inc. | Prosthetic/Orthotic Supplier | 19160 Coastal Hwy Unit A, Rehoboth Beach, DE 19971-6110 | 2007-03-04 |
| 1902284938 | Independence Prosthetics-orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 550 S College Ave, Suite 111, Newark, DE 19716-1307 | 2015-05-11 |
| 1508005463 | Independence Prosthetics-orthotics, Inc. | Prosthetic/Orthotic Supplier | 2711 Edgmont Ave, Brookhaven, PA 19015-3316 | 2009-02-16 |
| 1871747931 | Independence Prosthetics-orthotics, Inc. | Prosthetic/Orthotic Supplier | 200 Banning St, Suite 220, Dover, DE 19904-3487 | 2008-11-15 |
| Street Address |
1500 S CHRISTOPHER COLUMBUS BLVD FLOOR 2 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19147-5504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336181 | Jamica Cropper-pam | Counselor | 401 S 2nd St. Suite 301, Philadelphia, PA 19147 | 2018-11-27 |
| 1598234411 | Halina Dziewolska | Behavioral Analyst | 535 Queen Street, Philadelphia, PA 19147 | 2018-11-20 |
| 1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
| 1487120218 | Christopher Michael Rosado | Behavioral Analyst | 1218-20 South 8th St, 1, Philadelphia, PA 19147 | 2018-10-19 |
| 1891271722 | Candice Millard | Dietitian, Registered | 419 S 8th St Apt 1b, Philadelphia, PA 19147 | 2018-07-13 |
| 1669998217 | Julianne Leonarda Wiebalk | Counselor | 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 | 2017-08-16 |
| 1396269247 | Sara Parente | Social Worker | 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 | 2017-08-02 |
| 1609398445 | Nikele Riek | Social Worker | 1348 Bainbridge Street, Philadelphia, PA 19147 | 2017-07-13 |
| 1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
| 1194196105 | Ann Courto | Dietitian, Registered | 1140 Cross Street, Philadelphia, PA 19147 | 2015-10-16 |
| Find all providers in zip 19147 | ||||
| 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 |
|---|---|---|---|---|
| 1386257871 | Shi Shi Collection | Prosthetic/Orthotic Supplier | 6128 W Jefferson St, Philadelphia, PA 19151-3902 | 2020-08-25 |
| 1750900114 | Experience Lemieux | Prosthetic/Orthotic Supplier | 900 N 19th St Unit 3247, Philadelphia, PA 19130-1561 | 2020-04-15 |
| 1891337051 | Pamela Howard | Prosthetic/Orthotic Supplier | 5805 Germantown Ave Fl 2, Philadelphia, PA 19144-2138 | 2019-10-09 |
| 1205375706 | D.d. Daughters Lace Wig Beautique | Prosthetic/Orthotic Supplier | 424 W Chew Ave, Salon, 1st Floor, Philadelphia, PA 19120-2356 | 2017-02-16 |
| 1487191862 | Northeast Orthotics Inc. | Prosthetic/Orthotic Supplier | 3223 N Broad St Ste 150, Philadelphia, PA 19140-5007 | 2017-01-24 |
| 1366681470 | Best Medical Supply, Inc. | Prosthetic/Orthotic Supplier | 13023 Bustleton Ave, Philadelphia, PA 19116-1672 | 2009-02-12 |
| 1932379765 | Cocco Enterprises Inc | Prosthetic/Orthotic Supplier | 2745 W. Passyunk Ave, Philadelphia, PA 19145-4012 | 2008-03-07 |
| 1942402003 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | Novacare Complex, Two Novacare Way, Philadelphia, PA 19145 | 2007-06-01 |
| 1831314822 | Lenny's Pedorthics & Orthopedics Inc. | Prosthetic/Orthotic Supplier | 256 S 10th St, Philadelphia, PA 19107-6776 | 2007-04-16 |
| 1134129166 | Harry J Lawall & Son, Inc. | Prosthetic/Orthotic Supplier | 8028 Frankford Ave, Philadelphia, PA 19136-2616 | 2005-08-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19147 |
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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.