ORTHOTIC & PROSTHETIC CENTERS, INC. (NPI# 1275901191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275901191 |
| Entity Type | Organization |
| Organization Name | ORTHOTIC & PROSTHETIC CENTERS, INC. |
| Other Organization Name | ORTHOTIC & PROSTHETIC CENTER OF MELBOURNE |
| Practice Address |
47 W New Haven Ave Ste 102 Melbourne FL 32901-4477 |
| Mailing Address |
3611 5th Ave N St Petersburg FL 33713-7503 |
| Practice Telephone | 7273273332 |
| Practice Fax Number | 7273277304 |
| Mailing Telephone | 7273273332 |
| Mailing Fax Number | 7273277304 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | PAUL C. WEOTT (PRESIDENT / OWNER) |
| Authorized Official Telephone | 7273273332 |
| Authorized Official Credential | CPO |
| 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 | 016778400 | 05 |
| Other Name | Type Code |
|---|---|
| Orthotic & Prosthetic Center of Melbourne | 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 |
| 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 |
| 1841607066 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 5053 S Congress Ave Ste 202, Lake Worth, FL 33461-4706 | 2014-07-21 |
| 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 |
47 W NEW HAVEN AVE STE 102 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-4477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| 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 |
|---|---|---|---|---|
| 1437418860 | South Beach Orthotics & Prosthetics Inc. | Prosthetic/Orthotic Supplier | 2239 S Babcock St, Melbourne, FL 32901-5305 | 2012-05-04 |
| 1942429154 | Ocular Prosthetics Lab Inc | Prosthetic/Orthotic Supplier | 2845 N Harbor City Blvd Ste 2-3, Melbourne, FL 32935-6217 | 2007-04-25 |
| 1467597450 | Brevard Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1405 Valentine St, Melbourne, FL 32901-3129 | 2007-02-20 |
| 1982175303 | Premier Orthotics & Prosthetics, LLC | Prosthetic/Orthotic Supplier | 2202 Bryan St, Melbourne, FL 32901-5958 | 2018-12-11 |
| 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 | ||||
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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.