LIFE IN MOTION ORTHOTIC & PROSTHETIC CENTER, INC. (NPI# 1275560518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275560518 |
| Entity Type | Organization |
| Organization Name | LIFE IN MOTION ORTHOTIC & PROSTHETIC CENTER, INC. |
| Practice Address |
443 N Saint Francis Ave Ste E Wichita KS 67202-2629 |
| Mailing Address |
Po Box 55 Wichita KS 67201-0055 |
| Practice Telephone | 3166407267 |
| Practice Fax Number | 6202250102 |
| Mailing Telephone | 3166407267 |
| Mailing Fax Number | 6202250102 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | MR. MICHAEL A ROLLE (PRESIDENT, O & P PRACTICIONER) |
| Authorized Official Telephone | 3166407267 |
| Authorized Official Credential | ABC CERTIFIED CP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
036=========F01 | KS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS KS | 118318 | 01 |
| KS | 200405850A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427427913 | Life In Motion Orthotic & Prosthetic Center, Inc. | Prosthetic/Orthotic Supplier | 2601 Central Ave Ste 22, Dodge City, KS 67801-2606 | 2015-09-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIFE IN MOTION ORTHOTIC & PROSTHETIC CENTER, INC | 443 N Saint Francis St Ste E, Wichita, KS 67202-2629 |
| Street Address |
443 N SAINT FRANCIS AVE STE E |
| City | WICHITA |
| State | KS |
| Zip Code | 67202-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845338 | Raneisha Hunter | Marriage & Family Therapist | 622 E. Douglasave, Wichita, KS 67202 | 2020-09-15 |
| 1104397124 | Bridges Healthcare Inc | Clinic/Center | 313 S. Market Street, Wichita, KS 67202 | 2018-12-17 |
| 1043712912 | Creative Bliss Therapy | Counselor | 115 Waterman Street, Wichita, KS 67202 | 2018-03-06 |
| 1720596240 | Sunheart Holistic, LLC | Social Worker | 200 N Broadway Ave Ste 535, Wichita, KS 67202 | 2018-01-18 |
| 1912423823 | Jenni Harshbarger, Phd, P.a. | Clinic/Center | 801 E. Douglas, Regus Suites, 2nd Floor, Wichita, KS 67202 | 2017-08-22 |
| 1336695287 | The Young Men's Christian Association of Wichita, Kansas | Health Educator | 402 N Market St, Wichita, KS 67202 | 2016-08-31 |
| 1699103739 | Nadine Reimer Penner | Social Worker | 313 S Market Street, Wichita, KS 67202 | 2013-10-29 |
| 1386992691 | Andrea Lynn Kasper-doggett | Social Worker | 100 S Market St Ste 2a, Wichita, KS 67202 | 2012-08-16 |
| 1679883318 | Carol Ann Knott | Registered Nurse | 909 N. Emporia, Wichita, KS 67202 | 2010-10-15 |
| 1851539431 | Peter Anthony Conrardy | Anesthesiology | 224 E. Douglas Ave., Suite 400 C/o Anesthesia Consulting Services, Wichita, KS 67202 | 2009-02-04 |
| Find all providers in zip 67202 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725122 | Tanisha Lee Alexander | Specialist | 761 N West St, Wichita, KS 67203-1240 | 2020-09-23 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609231000 | Angela Jackson | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-29 |
| 1346649084 | Cherhea Mateika Hill | Specialist | 5908 Woodson Rd, Mission, KS 66202-3360 | 2014-08-19 |
| 1922439546 | Valdaze Mcdaniel | Specialist | 12702 Wenonga Ln, Leawood, KS 66209-1631 | 2013-12-07 |
| 1861836470 | Debra Ann Bonds | Specialist | 8010 Parallel Pkwy, Kansas City, KS 66112-2009 | 2013-04-25 |
| 1780789636 | Mark Earl Feathers | Specialist | 627 Graham St, Emporia, KS 66801-5107 | 2006-09-14 |
| 1770576944 | Accurate Prosthetics & Orthotics, Inc. | Specialist | 1512 E Iron Ave, Suite B, Salina, KS 67401-3236 | 2005-08-23 |
| 1144685454 | A Touch of Flair | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-31 |
| 1295190502 | Bundle Behavior | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-31 |
| 1952766354 | Lateasha C Jackson | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-29 |
| 1427496215 | Kameche Andrews | Specialist | 8600 W 95th St, Overland Park, KS 66212-3202 | 2013-06-13 |
| 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.