ORTHOTIC & PROSTHETIC CENTERS, INC. (NPI# 1265868517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265868517 |
| Entity Type | Organization |
| Organization Name | ORTHOTIC & PROSTHETIC CENTERS, INC. |
| Other Organization Name | ORTHOTIC & PROSTHETIC CENTER OF PORT CHARLOTTE |
| Practice Address |
4245 Kings Hwy Unit C Port Charlotte FL 33980-8416 |
| Mailing Address |
3611 5th Ave N St Petersburg FL 33713-7503 |
| Practice Telephone | 9412353332 |
| Practice Fax Number | 9418759192 |
| Mailing Telephone | 7273273332 |
| Mailing Fax Number | 7273277304 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | MOLLY K FORTE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7273273332 |
| Is Organization Subpart | Y |
| Parent Organization Name | ORTHOTIC & PROSTHETIC CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | FL | Suppliers | |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
FL | Suppliers | |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010769400 | 05 |
| Other Name | Type Code |
|---|---|
| Orthotic & Prosthetic Center of Port Charlotte | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629627484 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 9808 Millwood Cir Ste A, Daphne, AL 36527-5455 | 2019-09-05 |
| 1376039032 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 2316 Lakeland Hills Blvd, Lakeland, FL 33805-2910 | 2018-07-06 |
| 1508352204 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 7070 Mariner Blvd, Spring Hill, FL 34609-1046 | 2018-07-05 |
| 1427404508 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 3936 N Davis Hwy Ste C, Pensacola, FL 32503-2746 | 2016-05-09 |
| 1821453366 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 851 Dunlawton Ave Ste 101, Port Orange, FL 32127-4234 | 2015-12-29 |
| 1497120935 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 1425 Viscaya Pkwy Ste 102, Cape Coral, FL 33990-3294 | 2015-12-09 |
| 1275901191 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 47 W New Haven Ave Ste 102, Melbourne, FL 32901-4477 | 2015-09-09 |
| 1801264254 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 3403 Nw 55th St, Fort Lauderdale, FL 33309-6308 | 2015-09-02 |
| 1215311477 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 400 Avenue K Se Ste 7, Winter Haven, FL 33880-4123 | 2015-07-16 |
| 1811305048 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 1721 Atlantic Blvd Ste 100, Jacksonville, FL 32207-3475 | 2014-07-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ORTHOTIC & PROSTHETIC CENTERS, INC. | 10420 Park Rd Ste 100a, Charlotte, NC 28210-8501 |
| Street Address |
4245 KINGS HWY UNIT C |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33980-8416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144699646 | Raymond B Hendricks | Custodial Care Facility | 1306 Annette St, Port Charlotte, FL 33980 | 2015-09-15 |
| 1649616517 | Anne Yvonne Clarke | Nurse's Aide | 3378 Idlewild Street, Port Charlotte, FL 33980 | 2013-05-17 |
| 1427395680 | John F Guarino Md Pa | Surgery | 4245 Kings Hwy, Unit A, Port Charlotte, FL 33980 | 2013-01-08 |
| 1497049027 | Patricia Ann Drow | Occupational Therapist | 24469 Manchester Trail, Port Charlotte, FL 33980 | 2011-05-31 |
| 1811221484 | Amanda K Huffman | Clinical Nurse Specialist | 22655 Bayshore Rd Ste 130, Port Charlotte, FL 33980 | 2009-09-29 |
| 1093967739 | Donna Olson | Nurse Practitioner | 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2008-10-14 |
| 1821278029 | Paula Marie Allison | Dietitian, Registered | 23422 Burlingame Ave, Port Charlotte, FL 33980 | 2007-11-06 |
| 1689865891 | Keith Anthony Williams | Physical Medicine & Rehabilitation | 4265 Laura Street, Port Charlotte, FL 33980 | 2007-08-05 |
| 1578685491 | Richard Michael Cocchieri | Dentist | Florida Department of Health In Charlotte County, 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2007-04-03 |
| 1417989328 | John F Guarino | Surgery | 4245 Kings Highway, Unit A, Port Charlotte, FL 33980 | 2006-07-07 |
| Find all providers in zip 33980 | ||||
| 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 |
|---|---|---|---|---|
| 1093930919 | O&p Associates of Charlotte Cty Inc. | Prosthetic/Orthotic Supplier | 21216 Olean Blvd Ste 1, Port Charlotte, FL 33952-6722 | 2007-04-16 |
| 1922065622 | Norpro Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 3028 Caring Way, Unit 1, Port Charlotte, FL 33952-5300 | 2006-04-27 |
| 1528069192 | Cardinal Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 779 Tamiami Trail, Ste 8, Port Charlotte, FL 33953 | 2005-08-09 |
| 1073983367 | Brevard Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 21216 Olean Blvd, Suite 1, Port Charlotte, FL 33952-6722 | 2015-09-30 |
| 1003107509 | Me Unlimited, Inc. | Prosthetic/Orthotic Supplier | 1825 Tamiami Trl, Suite E2, Port Charlotte, FL 33948-1077 | 2011-05-02 |
| 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 |
| 1518583012 | Ts&a Medical Supply LLC | Prosthetic/Orthotic Supplier | 13555 Automobile Blvd Ste 650, Clearwater, FL 33762-3854 | 2020-06-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33980 |
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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.