CREATIVE ORTHOTICS & PROSTHETICS, INC. (NPI# 1235219478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235219478 |
| Entity Type | Organization |
| Organization Name | CREATIVE ORTHOTICS & PROSTHETICS, INC. |
| Practice Address |
6 Rhoads Dr Utica NY 13502-6317 |
| Practice Telephone | 3157330105 |
| Practice Fax Number | 3157330106 |
| Mailing Telephone | 3157330105 |
| Mailing Fax Number | 3157330106 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-10-14 |
| Authorized Official Name | SHERYL S PRICE (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 5034938288 |
| Is Organization Subpart | Y |
| Parent Organization Name | HANGER ORTHOPEDIC GROUP |
| 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 |
|---|---|---|---|
| NY | 02408304 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477633618 | Creative Orthotics & Prosthetics, Inc. | Durable Medical Equipment & Medical Supplies | 510 Pre Emption Rd, Geneva, NY 14456-1332 | 2006-10-16 |
| 1871683003 | Creative Orthotics & Prosthetics, Inc. | Durable Medical Equipment & Medical Supplies | 310 Taughannock Blvd, Suite 1a, Ithaca, NY 14850-3231 | 2006-10-16 |
| 1457431686 | Creative Orthotics & Prosthetics, Inc. | Durable Medical Equipment & Medical Supplies | 65 Pennsylvania Ave, Suite 207, Binghamton, NY 13903-1608 | 2006-10-16 |
| 1922188176 | Creative Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 100 John Roemmelt Dr, Suite 200, Horseheads, NY 14845-8301 | 2006-10-16 |
| Street Address |
6 RHOADS DR |
| City | UTICA |
| State | NY |
| Zip Code | 13502-6317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801887690 | Michelle Tagliaferri | Physician Assistant | 6 Rhoads Dr, Utica, NY 13502-6317 | 2005-11-02 |
| 1801407515 | Nicolette Haley | Nurse Practitioner | 6 Rhoads Dr, Utica, NY 13502-6317 | 2020-08-14 |
| 1659866754 | Jenna Pawloski | Nurse Practitioner | 6 Rhoads Dr, Utica, NY 13502-6317 | 2018-06-30 |
| 1720135742 | Matthew Michael Dubai | Nurse Practitioner | 6 Rhoads Dr, Utica, NY 13502-6317 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| 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 |
|---|---|---|---|---|
| 1902950512 | Scaglione Prosthetics Inc | Prosthetic/Orthotic Supplier | 514 Broad St, Utica, NY 13501-1207 | 2007-01-22 |
| 1285744854 | Andrew Carucci | Prosthetic/Orthotic Supplier | 1508 Genesee St, Utica, NY 13502-5178 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538796545 | Ffh Concepts LLC | Prosthetic/Orthotic Supplier | 545 Saw Mill River Rd Ste 1a, Ardsley, NY 10502-2159 | 2020-03-27 |
| 1417584046 | Alta Vista Inc. | Prosthetic/Orthotic Supplier | 420 Madison Ave Fl 2, New York, NY 10017-1195 | 2020-03-24 |
| 1114554904 | Britica Management Group Inc | Prosthetic/Orthotic Supplier | 40 Gardenville Pkwy Ste 200, West Seneca, NY 14224-1399 | 2020-03-24 |
| 1992332837 | Genesis II Hair Replacement Studio | Prosthetic/Orthotic Supplier | 405 E Taft Rd, North Syracuse, NY 13212-3734 | 2020-03-23 |
| 1548895113 | East Coast Orthotic & Prosthetic Corp. | Prosthetic/Orthotic Supplier | 326 2nd Ave, New York, NY 10003-2732 | 2020-03-04 |
| 1154964955 | Northern Orthopedic Laboratory Inc. | Prosthetic/Orthotic Supplier | 6604 State Highway 56 Apt 6, Potsdam, NY 13676-3546 | 2019-10-24 |
| 1285275354 | Chanta Mabry | Prosthetic/Orthotic Supplier | 1787 Fulton St, Brooklyn, NY 11233-3029 | 2019-09-30 |
| 1659921716 | Millenium Medical Products, Inc | Prosthetic/Orthotic Supplier | 204 19 12th Ave, Rockaway Point, NY 11697-1120 | 2019-09-19 |
| 1700435278 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 200 Old Country Rd Ste 590a, Mineola, NY 11501-4235 | 2019-09-08 |
| 1265081731 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1393 Veterans Memorial Hwy Ste 112n, Hauppauge, NY 11788-3066 | 2019-09-08 |
| 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.