PERFORMANCE ORTHOTICS, L.L.C. (NPI# 1316015548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316015548 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE ORTHOTICS, L.L.C. |
| Practice Address |
2409 Oakfield Dr Columbia MO 65202-2280 |
| Practice Telephone | 5732686750 |
| Mailing Telephone | 5732686750 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KENNETH WAYNE NEIGHBORS (OWNER) |
| Authorized Official Telephone | 5732686750 |
| Authorized Official Credential | C.O., B.O.C.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
2409 OAKFIELD DR |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65202-2280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295803419 | Kenneth Wayne Neighbors | Orthotist | 2409 Oakfield Dr, Columbia, MO 65202-2280 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1245871540 | Ranshell Micole Harrington | Registered Nurse | 7455 Noah Court Columbia, Mo65202, Columbia, MO 65202 | 2019-10-08 |
| 1326514381 | Clark Supported Living | Registered Nurse | 303 Macaw Dr, Columbia, MO 65202 | 2018-10-17 |
| 1851873608 | Phoenix Programs, Inc. | Counselor | 90 E. Leslie Ln., Columbia, MO 65202 | 2018-08-29 |
| 1760973044 | Centerpointe Hospital of Columbia, LLC | Psychiatric Hospital | 1201 International Drive, Columbia, MO 65202 | 2018-05-23 |
| 1710409198 | Lena-frances Sheets | Counselor | 3509 Deer Run Drive, Columbia, MO 65202 | 2017-07-07 |
| 1235669037 | Henry William Clark | Counselor | 409 Vandiver West Bldg 6, Suite 102a, Great Circle, Columbia, MO 65202 | 2017-06-14 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1871993923 | Li Ma | Physician Assistant | 1909 Mayberry Drive, Columbia, MO 65202 | 2014-08-26 |
| 1134543614 | Meghan Lees | Nurse Anesthetist, Certified Registered | 4608 Waterloo Driv, Ste 170, Columbia, MO 65202 | 2014-02-05 |
| Find all providers in zip 65202 | ||||
| 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 |
|---|---|---|---|---|
| 1598259954 | Natural Wigs Store | Prosthetic/Orthotic Supplier | 1722 Broad River Rd Ste C, Columbia, SC 29210-7336 | 2018-06-19 |
| 1215279013 | Mochix | Prosthetic/Orthotic Supplier | 2601 Maguire Blvd, Columbia, MO 65201-8253 | 2013-03-20 |
| 1992041867 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 3250 Harden Street Ext Ste 200, Columbia, SC 29203 | 2012-12-21 |
| 1649550963 | The Welbourne Group,llc | Prosthetic/Orthotic Supplier | 6830 Garners Ferry Rd, Columbia, SC 29209-1609 | 2011-08-17 |
| 1619296175 | Comforting Solutions, LLC | Prosthetic/Orthotic Supplier | 12118 Little Patuxent Pkwy Apt H, Columbia, MD 21044-2759 | 2010-05-24 |
| 1205016219 | Orthopartners Inc | Prosthetic/Orthotic Supplier | 6760 Alexander Bell Dr, Suite 150, Columbia, MD 21046-2191 | 2007-11-07 |
| 1689768376 | The Forms Boutique, Inc. | Prosthetic/Orthotic Supplier | 3308 Forest Dr, Columbia, SC 29204-4024 | 2006-10-03 |
| 1851302244 | Cook's Orthopedics, Inc. | Prosthetic/Orthotic Supplier | 1503 Hatcher Ln, Suite 140, Columbia, TN 38401-4833 | 2006-08-10 |
| 1417962275 | Central Brace Company | Prosthetic/Orthotic Supplier | 404 Portland St, Rear Entrance Eye Research Foundation, Columbia, MO 65201-6506 | 2006-07-30 |
| 1366460248 | Alala, LLC | Prosthetic/Orthotic Supplier | 3400 Harden Street Ext, Columbia, SC 29203 | 2006-07-18 |
| Find all providers in COLUMBIA | ||||
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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.