MARY FREE BED ORTHOTICS AND PROSTHETICS (NPI# 1356902449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356902449 |
Entity Type | Organization |
Organization Name | MARY FREE BED ORTHOTICS AND PROSTHETICS |
Practice Address |
7123 Stadium Dr Kalamazoo MI 49009-4943 |
Mailing Address |
235 Wealthy St Se Grand Rapids MI 49503-5247 |
Practice Telephone | 6168408007 |
Mailing Telephone | 6168408007 |
Enumeration Date | 2019-06-28 |
Last Update Date | 2019-06-28 |
Authorized Official Name | LAURI WALSH (COMPLIANCE MANAGER) |
Authorized Official Telephone | 6168408268 |
Is Organization Subpart | Y |
Parent Organization Name | MARY FREE BED ORTHOTICS AND PROSTHETICS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154963817 | Mary Free Bed Orthotics and Prosthetics | Orthotic Fitter | 502 S Hamilton St, Saginaw, MI 48602-1511 | 2019-10-15 |
1154359537 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 1078 East Sternberg Rd, Muskegon, MI 49444-8796 | 2006-06-28 |
1619929643 | Mary Free Bed Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 360 Lafayette Ave Se, Suite 320, Grand Rapids, MI 49503-4677 | 2006-05-17 |
1881155794 | Mary Free Bed Orthotics and Prosthetics | Orthotic Fitter | 2500 Niles Rd Ste 9, Saint Joseph, MI 49085-3268 | 2019-03-26 |
1700359908 | Mary Free Bed Orthotics and Prosthetics | Orthotist | 200 N Homer St, Lansing, MI 48912-4741 | 2019-01-10 |
1326524745 | Mary Free Bed Orthotics and Prosthetics | Pedorthist | 1219 E Saginaw St, Lansing, MI 48906-5523 | 2018-07-18 |
1528096997 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 360 Lafayette Ave Se, Suite 330, Grand Rapids, MI 49503-4677 | 2006-06-28 |
1437187804 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 12662 Riley St, Suite 140, Holland, MI 49424-8023 | 2006-06-28 |
1245268622 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 360 Lafayette Ave Se, Suite 330, Grand Rapids, MI 49503-4677 | 2006-06-28 |
1184607335 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 235 Wealthy St Se, Ste 1100, Grand Rapids, MI 49503-5247 | 2005-11-22 |
Street Address |
7123 STADIUM DR |
City | KALAMAZOO |
State | MI |
Zip Code | 49009-4943 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
Find all providers in zip 49009 |
Taxonomy Code | 222Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotist |
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
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 |
---|---|---|---|---|
1356682694 | Timothy Darling | Orthotist | 2318 Gull Rd, Kalamazoo, MI 49048-3619 | 2013-03-12 |
1093056327 | Kevin Hetland | Orthotist | 2318 Gull Rd Ste A, Kalamazoo, MI 49048-3619 | 2013-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215586623 | Matthew Mcewin | Orthotist | 41400 Dequindre Rd Ste 105, Sterling Heights, MI 48314-3751 | 2019-09-09 |
1043736424 | John Roberts-kinyon | Orthotist | 1383 Nottingham Rd, Grosse Pointe Park, MI 48230-1026 | 2017-08-17 |
1003338898 | Joshua Paul Ahlstrom | Orthotist | 1407 E Michigan Ave, Jackson, MI 49202-3517 | 2017-07-12 |
1689118671 | Melissa Ismet | Orthotist | 4314 Skusa Dr, Brighton, MI 48116-9720 | 2016-12-09 |
1336683358 | Jon Richard Tapio | Orthotist | 431 Front Street, Republic, MI 49879 | 2016-12-09 |
1063881530 | First Choice Orthotics and Prosthetics | Orthotist | 19189 15 Mile Rd, Clinton Township, MI 48035-2508 | 2015-09-15 |
1578951943 | Thomas Dunn | Orthotist | 314 N Walnut St, Second Floor, Lansing, MI 48933-1124 | 2015-01-07 |
1184043697 | Zia Rahman | Orthotist | 23255 Middlebelt Rd, Farmington Hills, MI 48336-3642 | 2014-04-11 |
1811320336 | Ralph T Topolewski | Orthotist | 525 E.jefferson Ave, Detroit, MI 48226 | 2013-08-20 |
1477894848 | Duane R Hoeppner | Orthotist | 1005 E Michigan Ave, Jackson, MI 49201-2405 | 2013-03-11 |
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.