HANGER PROSTHETICS & ORTHOTICS EAST INC (NPI# 1205900164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205900164 |
| Entity Type | Organization |
| Organization Name | HANGER PROSTHETICS & ORTHOTICS EAST INC |
| Practice Address |
721 American Ave Ste 203 Waukesha WI 53188-5071 |
| Mailing Address |
4155 E La Palma Ave Ste B400 Anaheim CA 92807-1857 |
| Practice Telephone | 2625210202 |
| Mailing Telephone | 7149612102 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | GRACE ANGELINE (REG COMPLIANCE SPECIALIST III) |
| Authorized Official Telephone | 7149612102 |
| Is Organization Subpart | Y |
| Parent Organization Name | HANGER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41786700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291536 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 3450 High Point Blvd Ste E, Bethlehem, PA 18017-7801 | 2020-06-26 |
| 1720611072 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 55 Fruit St Ste 3c, Yawkey Bldg, Boston, MA 02114-2621 | 2020-02-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1417314212 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 380 2nd Ave Ste 1002, New York, NY 10010-5640 | 2016-01-25 |
| 1639564867 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 100 Tower Dr Ste 101, Burr Ridge, IL 60527-5778 | 2015-04-03 |
| 1295132157 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 17500 Burke St Ste 100, Omaha, NE 68118-2244 | 2014-11-20 |
| 1689097347 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 5955 S Highway 16, Suite C, Rapid City, SD 57701-8911 | 2014-01-30 |
| 1598188252 | Hanger Prosthetics & Orthotics East Inc | Prosthetic/Orthotic Supplier | 330 Dakota Dunes Blvd Ste 150, Dakota Dunes, SD 57049 | 2014-01-30 |
| 1437499548 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1828 E 9th St, Trenton, MO 64683 | 2013-02-26 |
| 1558622811 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 124 N Henderson Ave Ste A, Sevierville, TN 37862-5948 | 2012-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Hanger Prosthetics & Orthotics East Inc. | 10910 Domain Dr Ste 300, Austin, Texas 78758-7807 |
| Street Address |
721 AMERICAN AVE STE 203 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.