PEDORTHIC OFFICE - FOOTWEAR & ORTHOTICS, LLC (NPI# 1184867285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184867285 |
| Entity Type | Organization |
| Organization Name | PEDORTHIC OFFICE - FOOTWEAR & ORTHOTICS, LLC |
| Practice Address |
16 N Saturn Ave Clearwater FL 33755-6229 |
| Practice Telephone | 7274467511 |
| Mailing Telephone | 7274467511 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Authorized Official Name | MR. ASIM ALLI (OWNER) |
| Authorized Official Telephone | 9178254033 |
| Authorized Official Credential | C.PED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
16 N SATURN AVE |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33755-6229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861858987 | Leslie S Coley | Specialist | 1484 Gulf To Bay Blvd Unit 4, Clearwater, FL 33755 | 2016-01-05 |
| 1336567981 | Trish French | Social Worker | 117 N Betty Ln, Clearwater, FL 33755 | 2014-04-01 |
| 1255629986 | Gulf Coast Occupational & Wellness Center, P.C. | Clinic/Center | 1407 Gulf -to-bay Blvd., Clearwater, FL 33755 | 2011-07-15 |
| 1346560729 | Narconon Suncoast, Inc | Substance Abuse Rehabilitation Facility | 1390 Sunset Point Road, Clearwater, FL 33755 | 2010-06-08 |
| 1588994503 | Rose Mary Baker | Custodial Care Facility | 1305 Woodbine St, Clearwater, FL 33755 | 2010-01-14 |
| 1407185317 | Ade Kanmbi Alaba | Pharmacist | 1438 Gulf-to-bay Blvd, Clearwater, FL 33755 | 2009-12-24 |
| 1184706921 | Brandy Jo Jennings | Dental Hygienist | 1455 Sunset Point Road, Clearwater, FL 33755 | 2006-10-20 |
| 1922013408 | Hays S Estes Dpt Pllc | Clinic/Center | 1661 Rainbow Dr, Clearwater, FL 33755 | 2006-07-30 |
| 1932145323 | Eric Isaac Egozi | Plastic Surgery | 1608 Gulf To Bay Blvd, Clearwater, FL 33755 | 2006-06-22 |
| 1053304022 | Robert Donnelly | Orthopaedic Surgery | 1660 Gulf To Bay Blvd, Clearwater, FL 33755 | 2005-08-25 |
| Find all providers in zip 33755 | ||||
| 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 |
|---|---|---|---|---|
| 1518583012 | Ts&a Medical Supply LLC | Prosthetic/Orthotic Supplier | 13555 Automobile Blvd Ste 650, Clearwater, FL 33762-3854 | 2020-06-19 |
| 1528525029 | Pt Medical LLC | Prosthetic/Orthotic Supplier | 611 Druid Rd E Ste 402b, Clearwater, FL 33756-3959 | 2019-02-21 |
| 1407349533 | Priority Medical, LLC | Prosthetic/Orthotic Supplier | 611 Druid Rd E Ste 402e, Clearwater, FL 33756-3959 | 2018-06-13 |
| 1447441449 | Tampa Bay Brace and Limb Inc | Prosthetic/Orthotic Supplier | 516 Lakeview Rd Villa1, Clearwater, FL 33756-9999 | 2007-08-05 |
| 1457743114 | Orange Orthotics, LLC | Prosthetic/Orthotic Supplier | 611 Druid Rd E, Ste 204a, Clearwater, FL 33756-3959 | 2015-03-04 |
| 1912259961 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 2325 Ulmerton Rd, Suite 23, Clearwater, FL 33762-2282 | 2012-10-15 |
| 1700012747 | Foundation Physical Therapy, Inc. | Prosthetic/Orthotic Supplier | 29605 Us Highway 19 N, Suite #360, Clearwater, FL 33761-1537 | 2009-06-04 |
| 1487794848 | Barr Prosthetics & Orthotics, Pa | Prosthetic/Orthotic Supplier | 1000 Lakeview Rd, Suite 6, Clearwater, FL 33756-3475 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120192 | Solaris Ortho, LLC | Prosthetic/Orthotic Supplier | 1112 W Shell Point Rd Ste 304, Ruskin, FL 33570-3400 | 2020-09-24 |
| 1467068635 | Laquavian Eliacin | Prosthetic/Orthotic Supplier | 1738 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5467 | 2020-09-22 |
| 1831705805 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 5453 N 59th St, Tampa, FL 33610-2011 | 2020-09-16 |
| 1790397875 | Gessy Rigaud | Prosthetic/Orthotic Supplier | 5100 Sw 41st St Apt 115, Hollywood, FL 33023-6988 | 2020-08-19 |
| 1609486737 | Beauty Vault Lux LLC. | Prosthetic/Orthotic Supplier | 5100 Sw 41st St, Hollywood, FL 33023-6948 | 2020-08-04 |
| 1003424680 | Spartan Capital Investments | Prosthetic/Orthotic Supplier | 1621 E Edgewood Dr Ste B, Lakeland, FL 33803-3365 | 2020-07-20 |
| 1962027128 | Qbc Durable Medical Equipment | Prosthetic/Orthotic Supplier | 931 Village Blvd # 256, West Palm Beach, FL 33409-1803 | 2020-06-13 |
| 1083239891 | K.n. Medical Wigs Inc | Prosthetic/Orthotic Supplier | 651 E Main St Ste I, Haines City, FL 33844-4240 | 2020-06-08 |
| 1730703851 | Mahnke's Orthotics & Prosthetics of Deerfield Inc | Prosthetic/Orthotic Supplier | 4208 N 31st Ave Ste 2, Hollywood, FL 33021-2002 | 2020-06-04 |
| 1659994184 | Prosthetic Innovations Inc | Prosthetic/Orthotic Supplier | 2300 W Sample Rd Ste 314, Pompano Beach, FL 33073-3030 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33755 |
Please comment or provide details below to improve the information on PEDORTHIC OFFICE - FOOTWEAR & ORTHOTICS, 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.