EXPRESS ORTHOTICS & PROSTHETICS, INC.


Address: 3603 W Flora St, Tampa, FL 33614-4025
Phone: 8136054610

EXPRESS ORTHOTICS & PROSTHETICS, INC. (NPI# 1396135315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396135315
Entity Type Organization
Organization Name EXPRESS ORTHOTICS & PROSTHETICS, INC.
Practice Address 3603 W Flora St
Tampa
FL 33614-4025
Practice Telephone 8136054610
Practice Fax Number 8136054612
Mailing Telephone 8136054610
Mailing Fax Number 8136054612
Enumeration Date 2015-01-28
Last Update Date 2015-07-27
Authorized Official Name MR. SHANE EVANS WAKEFIELD (OWNER)
Authorized Official Telephone 8136054610
Authorized Official Credential CPO/LPO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier POR249 FL Suppliers

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities EXPRESS ORTHOTICS & PROSTHETICS, INC. 3603 W Flora St Ste 102, Tampa, FL 33614-4025

Office Location

Street Address 3603 W FLORA ST
City TAMPA
State FL
Zip Code 33614-4025

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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831705805 Fourroux Prosthetics, Inc Prosthetic/Orthotic Supplier 5453 N 59th St, Tampa, FL 33610-2011 2020-09-16
1013482546 Westcoast Brace & Limb Prosthetic/Orthotic Supplier 4809 Memorial Hwy Ste C, Tampa, FL 33634-7515 2018-10-11
1700383312 Gomez Orthotic Systems LLC Prosthetic/Orthotic Supplier 4809 Memorial Hwy, Tampa, FL 33634-7515 2018-04-10
1043767510 Its Jazzy Salo Prosthetic/Orthotic Supplier 3010 N 22nd St, Tampa, FL 33605-1914 2016-09-01
1013462316 Danori Inc. Prosthetic/Orthotic Supplier 1425 W Busch Blvd, Tampa, FL 33612-7601 2016-08-17
1922429588 Amy Holm Prosthetic/Orthotic Supplier 812 W Mlk Blvd #100, Tampa, FL 33603-3338 2013-12-30
1033462171 About You Prosthetic/Orthotic Supplier 3401 Henderson Blvd, Suite A, Tampa, FL 33609-3989 2012-10-25
1376858688 American Ortho Tech Laboratories, Inc. Prosthetic/Orthotic Supplier 4809 Memorial Hwy Ste 100, Tampa, FL 33634-7515 2010-08-11
1740302645 Italy Shoe Lab, Inc Prosthetic/Orthotic Supplier 9639 Palm River Rd, Tampa, FL 33619-4433 2007-04-04
1194733758 Westcoast Brace & Limb Prosthetic/Orthotic Supplier 5311 E Fletcher Ave, Tampa, FL 33617-1147 2006-08-03
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Competitor

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City TAMPA
Zip Code 33614

Improve Information

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Dataset Information

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.

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