MAINE ORTHOTIC & PROSTHETIC REHAB SERVICES INC (NPI# 1285967877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285967877 |
| Entity Type | Organization |
| Organization Name | MAINE ORTHOTIC & PROSTHETIC REHAB SERVICES INC |
| Practice Address |
195 Fore River Parkway Nefas Suite 210 Portland ME 04102 |
| Mailing Address |
300 Park Ave Portland ME 04102-2914 |
| Practice Telephone | 2077738818 |
| Practice Fax Number | 2077731204 |
| Mailing Telephone | 2077738818 |
| Mailing Fax Number | 2077731204 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |
| Authorized Official Name | MR. KENNETH E PERKINS (PRESIDENT) |
| Authorized Official Telephone | 2077738818 |
| Authorized Official Credential | CO/PT |
| Is Organization Subpart | Y |
| Parent Organization Name | MAINE ORTHOTIC & PROSTHETIC REHAB SERVICES 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619100955 | Maine Orthotic & Prosthetic Rehab Services Inc | Durable Medical Equipment & Medical Supplies | 5 Wellspring Rd, Suite 102, Biddeford, ME 04005-9401 | 2009-09-03 |
| 1912130253 | Maine Orthotic & Prosthetic Rehab Services Inc | Durable Medical Equipment & Medical Supplies | 89 Hospital St, Augusta, ME 04330-6651 | 2009-09-03 |
| 1184857427 | Maine Orthotic & Prosthetic Rehab Services Inc | Durable Medical Equipment & Medical Supplies | 5 North St, Presque Isle, ME 04769-2240 | 2009-09-03 |
| Street Address |
195 FORE RIVER PARKWAY NEFAS SUITE 210 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194705038 | John Henry Dorsey Jr. | Podiatrist | 195 Fore River Parkway, Suite 120, Portland, ME 04102 | 2006-01-18 |
| 1487848727 | All About Women Pa | Obstetrics & Gynecology | 195 Fore River Parkway, Suite 440, Portland, ME 04102 | 2007-08-29 |
| 1578786802 | Rosa Mojdehi | Obstetrics & Gynecology | 195 Fore River Parkway, All About Women, Portland, ME 04102 | 2007-04-11 |
| 1356440085 | Melissa L. Tsomides | Physician Assistant | 195 Fore River Parkway, Suite 420, Portland, ME 04102 | 2006-09-21 |
| 1417982455 | Ann L. Trask | Specialist | 195 Fore River Parkway, Suite 440, Portland, ME 04102 | 2006-07-11 |
| 1578506143 | Gregory S Adey | Urology | 195 Fore River Parkway, Suite 310, Portland, ME 04101-2715 | 2006-06-13 |
| 1174560221 | Marc A Hodroff | Urology | 195 Fore River Parkway, Suite 310, Portland, ME 04102-2715 | 2006-05-31 |
| 1376591123 | Portland Surgical Associates | Surgery | 195 Fore River Parkway, Suite 420, Portland, ME 04102 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| 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 |
|---|---|---|---|---|
| 1194023218 | Aryz Inc | Prosthetic/Orthotic Supplier | 671 Forest Ave, Portland, ME 04103-4158 | 2011-03-14 |
| 1023188778 | Orthotic Prosthetic Associates, Inc. | Prosthetic/Orthotic Supplier | 173 Ne 102nd Ave, Portland, OR 97220-4169 | 2006-11-09 |
| 1659306207 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 1001 Lloyd Ctr, Portland, OR 97232-1238 | 2006-07-12 |
| 1669407219 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 701 Sw Broadway, Portland, OR 97015-3301 | 2006-07-12 |
| 1902831563 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 11900 Se 82nd Ave, Portland, OR 97086-7724 | 2006-07-12 |
| 1629003280 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 9700 Sw Washington Square Rd, Portland, OR 97223-4453 | 2006-07-12 |
| 1265481758 | A Step Forward LLC | Prosthetic/Orthotic Supplier | 8605 Sw Terwilliger Blvd, Portland, OR 97219-4565 | 2006-05-10 |
| 1386602621 | East Side Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 17316 Ne Halsey St, Portland, OR 97230-6026 | 2006-05-03 |
| 1407811789 | Oregon Artificial Limb Co. | Prosthetic/Orthotic Supplier | 21 Ne Seventh Ave., Portland, OR 97232-2907 | 2006-04-19 |
| 1033112636 | Oregon Pedorthic Services | Prosthetic/Orthotic Supplier | 9932 Ne Halsey St, Portland, OR 97220-4474 | 2005-05-27 |
| Find all providers in PORTLAND | ||||
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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.