ORTHOTICS & PROSTHETICS REHABILITATION ENGINEERING CENTRE, INC. (NPI# 1376527986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376527986 |
| Entity Type | Organization |
| Organization Name | ORTHOTICS & PROSTHETICS REHABILITATION ENGINEERING CENTRE, INC. |
| Practice Address |
700 Howland Wilson Rd Se Warren OH 44484-2512 |
| Practice Telephone | 3308562553 |
| Practice Fax Number | 3308564619 |
| Mailing Telephone | 3308562553 |
| Mailing Fax Number | 3308564619 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN N. BILLOCK (CLINICAL/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3308562553 |
| Authorized Official Credential | CPO/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM PROVIDER NUMBER | 000000155607 | 01 |
| OH | 0595244 | 05 | |
| OH | HIGHMARK PROVIDER NUMBER | 208430 | 01 |
| OH | NPN PROVIDER NUMBER | 80283 | 01 |
| Street Address |
700 HOWLAND WILSON RD SE |
| City | WARREN |
| State | OH |
| Zip Code | 44484-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| 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 |
|---|---|---|---|---|
| 1942677273 | Virgin Girl Hair | Prosthetic/Orthotic Supplier | 11885 E 12 Mile Rd Ste 200b, Warren, MI 48093-3474 | 2015-08-21 |
| 1962423061 | Eastwood Orthotics, Inc | Prosthetic/Orthotic Supplier | 3877 Youngstown Rd Se, Warren, OH 44484-2836 | 2006-07-22 |
| 1437176161 | Darling Apothecary, LLC | Prosthetic/Orthotic Supplier | 212-214 Liberty St., Warren, PA 16365-2347 | 2006-07-17 |
| 1164411278 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 11012 E 13 Mile Rd Ste 200, Warren, MI 48093 | 2005-10-20 |
| 1184617094 | First Choice Medical Supply Inc | Prosthetic/Orthotic Supplier | 4451 Mahoning Ave Nw, Warren, OH 44483-1977 | 2005-08-25 |
| 1851877153 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 11012 E 13 Mile Rd Ste 200, Warren, MI 48093-2547 | 2018-07-19 |
| 1154829984 | Top Performance Medical Supplies | Prosthetic/Orthotic Supplier | 22815 Hillock Ave, Warren, MI 48089-5418 | 2018-01-26 |
| 1750608477 | Pros-tech, Inc. | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Suite 2b, Warren, MI 48088-3730 | 2010-04-21 |
| 1982883625 | Medical Resource Group | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Ste 2-b, Warren, MI 48088-3730 | 2007-10-30 |
| 1003993312 | Center for Physical Medicine and Rehabilitation, P.C. | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Warren, MI 48088-3730 | 2006-11-01 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on ORTHOTICS & PROSTHETICS REHABILITATION ENGINEERING CENTRE, INC..
| 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.