LIFE IN MOTION ORTHOTIC & PROSTHETIC CENTER, INC. (NPI# 1427427913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427427913 |
| Entity Type | Organization |
| Organization Name | LIFE IN MOTION ORTHOTIC & PROSTHETIC CENTER, INC. |
| Practice Address |
2601 Central Ave Ste 22 Dodge City KS 67801-2606 |
| Practice Telephone | 6202250113 |
| Practice Fax Number | 6202250102 |
| Mailing Telephone | 6202250113 |
| Mailing Fax Number | 6202250102 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2019-11-22 |
| Authorized Official Name | MR. MICHAEL A ROLLE (PRESIDENT) |
| Authorized Official Telephone | 3166407267 |
| Authorized Official Credential | ABC /BOC/BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275560518 | Life In Motion Orthotic & Prosthetic Center, Inc. | Specialist | 443 N Saint Francis Ave Ste E, Wichita, KS 67202-2629 | 2006-06-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIFE IN MOTION ORTHOTIC & PROSTHETIC CENTER, INC | 443 N Saint Francis St Ste E, Wichita, KS 67202-2629 |
| Street Address |
2601 CENTRAL AVE STE 22 |
| City | DODGE CITY |
| State | KS |
| Zip Code | 67801-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598294589 | Jeremy L Luthi | Physical Therapist | 2200 Summerlon Circle, Suite D, Dodge City, KS 67801 | 2017-06-05 |
| 1851796635 | Larry Martin | Pharmacist | 1700 N 14th, Dodge City, KS 67801 | 2014-10-23 |
| 1588934038 | Janet R Giefer | Occupational Therapy Assistant | 510 W Frontview, Dodge City, KS 67801 | 2011-12-30 |
| 1982855565 | Sandra M Herder | Nurse Practitioner | 100 Ross Blvd Suite 2a, Dodge City, KS 67801 | 2008-10-01 |
| 1689820300 | Gloria Andrade | Counselor | 207 W Spruce, Dodge City, KS 67801 | 2008-08-13 |
| 1396957213 | F Rodney Copeland | Optometrist | 2405 Central, Dodge City, KS 67801 | 2007-05-04 |
| 1881710879 | Kathleen Joan Warner-long | Counselor | 506 Avenue L, Dodge City, KS 67801 | 2007-03-21 |
| 1396884961 | Kansas Soldiers Home | Skilled Nursing Facility | 201 Custer, Fort Dodge, KS 67801 | 2007-02-06 |
| 1083774954 | Sherron S Mcreynolds | Registered Nurse | 101 Plaza Terrace, Dodge City, KS 67801 | 2006-12-11 |
| 1477621159 | Dodge City Dental Care | Dentist | 2300 N 14th Street, Suite 202, Dodge City, KS 67801 | 2006-12-01 |
| Find all providers in zip 67801 | ||||
| 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 |
|---|---|---|---|---|
| 1417509910 | Professional Orthotic & Prosthetic Services, LLC | Prosthetic/Orthotic Supplier | 410 Grant Ave, Clay Center, KS 67432-2942 | 2019-07-15 |
| 1972063436 | Pwr Physio LLC | Prosthetic/Orthotic Supplier | 12006 W 87th Street Pkwy, Lenexa, KS 66215-2808 | 2019-03-21 |
| 1316482383 | Natural Fit LLC | Prosthetic/Orthotic Supplier | 408 Circle Dr, Suite C, Silver Lake, KS 66539-9520 | 2016-12-30 |
| 1205209335 | Wealcan LLC | Prosthetic/Orthotic Supplier | 1612 S 4th St, Leavenworth, KS 66048-3442 | 2015-11-11 |
| 1043699572 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 380 Limit St, Leavenworth, KS 66048-4525 | 2015-05-29 |
| 1447649074 | Horizon Orthotic & Prosthetic Experience Inc | Prosthetic/Orthotic Supplier | 1251 Sw Arrowhead Rd, Suite D, Topeka, KS 66604-4061 | 2015-01-20 |
| 1689010787 | Capitol Orthopedic Inc. | Prosthetic/Orthotic Supplier | 11388 Strang Line Rd, Lenexa, KS 66215-4041 | 2013-05-15 |
| 1306146592 | Accurate Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 311 Fort Riley Blvd, Manhattan, KS 66502-6357 | 2010-10-22 |
| 1447576582 | Urban Studios LLC | Prosthetic/Orthotic Supplier | 820 Commons Place, Manhattan, KS 66503 | 2010-04-14 |
| 1760705156 | University of Kansas Hospital Authority | Prosthetic/Orthotic Supplier | 2330 Shawnee Mission Parkway Ste. 2200, Missys' Boutique, Westwood, KS 66205-2005 | 2010-03-12 |
| Find all providers with the same taxonomy | ||||
| City | DODGE CITY |
| Zip Code | 67801 |
Please comment or provide details below to improve the information on LIFE IN MOTION ORTHOTIC & PROSTHETIC CENTER, 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.