NATIONAL PEDORTHIC SERVICES, INC. (NPI# 1205816857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205816857 |
| Entity Type | Organization |
| Organization Name | NATIONAL PEDORTHIC SERVICES, INC. |
| Practice Address |
2475 N 124th St Brookfield WI 53005-4630 |
| Mailing Address |
7283 W Appleton Ave Milwaukee WI 53216-1932 |
| Practice Telephone | 2627542440 |
| Practice Fax Number | 2627542441 |
| Mailing Telephone | 4144381216 |
| Mailing Fax Number | 4144381051 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2012-12-18 |
| Authorized Official Name | NICOLE S JANISSE (OPERATIONS MANAGER) |
| Authorized Official Telephone | 4144381216 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41770000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851405518 | National Pedorthic Services, Inc. | Prosthetic/Orthotic Supplier | 1334 Applegate Rd, Suite 200, Madison, WI 53713-3184 | 2006-08-19 |
| 1083728653 | National Pedorthic Services, Inc. | Prosthetic/Orthotic Supplier | 1280 Scottsville Rd, Suite 20, Rochester, NY 14624-5147 | 2006-08-19 |
| 1215041884 | National Pedorthic Services, Inc. | Prosthetic/Orthotic Supplier | 727 N New Ballas Rd, Creve Coeur, MO 63141-6715 | 2006-08-19 |
| 1649450966 | National Pedorthic Services, Inc. | Prosthetic/Orthotic Supplier | 4804 S State Route 159, Suite A, Glen Carbon, IL 62034-1904 | 2007-11-05 |
| 1316051063 | National Pedorthic Services, Inc. | Prosthetic/Orthotic Supplier | 2745 W Layton Ave, Suite 103, Milwaukee, WI 53221-2651 | 2006-08-19 |
| 1548374101 | National Pedorthic Services, Inc. | Prosthetic/Orthotic Supplier | 885 Western Ave, Suite 400, Fond Du Lac, WI 54935-3874 | 2006-08-19 |
| Street Address |
2475 N 124TH ST |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932640414 | Kathy Karrels | Pedorthist | 2475 N 124th St, Brookfield, WI 53005-4630 | 2017-03-16 |
| 1366983843 | Dennis Janisse | Pedorthist | 2475 N 124th St, Brookfield, WI 53005-4630 | 2017-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| 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 |
|---|---|---|---|---|
| 1699839035 | Essential Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 8400 Brookfield Ave, 1st Floor, Brookfield, IL 60513-1707 | 2006-12-20 |
| 1679625560 | Md Orthotic and Prosthetic Laboratories, Inc. | Prosthetic/Orthotic Supplier | 8400 Brookfield Ave, 1st Floor, Brookfield, IL 60513 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932604 | Cassie Mae Mathis | Prosthetic/Orthotic Supplier | W1643 Greiner Rd, Freedom, WI 54130-7943 | 2020-11-03 |
| 1649648973 | Nordstrom | Prosthetic/Orthotic Supplier | 2424 N Mayfair Rd, Wauwatosa, WI 53226-1410 | 2015-09-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| 1285908624 | Reichert Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 5027 Green Bay Rd Ste 124, Kenosha, WI 53144-1771 | 2012-03-02 |
| 1073807475 | Ralph's Shoes | Prosthetic/Orthotic Supplier | 336 Water St, Eau Claire, WI 54703-6132 | 2011-06-02 |
| 1982904769 | Better Balance LLC | Prosthetic/Orthotic Supplier | 2629 E Clairemont Ave, Eau Claire, WI 54701-6726 | 2010-10-27 |
| 1861718744 | Ripon Medical Center | Prosthetic/Orthotic Supplier | 165 W Huron St, Berlin, WI 54923-1590 | 2010-04-16 |
| 1225352172 | Hickok Rehab Services LLC | Prosthetic/Orthotic Supplier | 314 N Washington St, Thorp, WI 54771-9531 | 2010-03-22 |
| 1376866954 | Hickok Rehab Services LLC | Prosthetic/Orthotic Supplier | 831 Dallas St, Chetek, WI 54728-5811 | 2010-03-10 |
| 1124356993 | Natural Tresses LLC | Prosthetic/Orthotic Supplier | 2011 N Richmond St, Appleton, WI 54911-2771 | 2009-12-05 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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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.