CREATIVE ORTHOTICS & PROSTHETICS, INC. (NPI# 1457431686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457431686 |
| Entity Type | Organization |
| Organization Name | CREATIVE ORTHOTICS & PROSTHETICS, INC. |
| Practice Address |
65 Pennsylvania Ave Suite 207 Binghamton NY 13903-1608 |
| Mailing Address |
Po Box 650846 Dallas TX 75265-0846 |
| Practice Telephone | 6077714672 |
| Practice Fax Number | 6077220533 |
| Mailing Telephone | 6077714672 |
| Mailing Fax Number | 6077220533 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2014-06-27 |
| Authorized Official Name | SHERYL PRICE (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 5034938288 |
| Is Organization Subpart | Y |
| Parent Organization Name | HANGER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02432222 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477633618 | Creative Orthotics & Prosthetics, Inc. | Durable Medical Equipment & Medical Supplies | 510 Pre Emption Rd, Geneva, NY 14456-1332 | 2006-10-16 |
| 1871683003 | Creative Orthotics & Prosthetics, Inc. | Durable Medical Equipment & Medical Supplies | 310 Taughannock Blvd, Suite 1a, Ithaca, NY 14850-3231 | 2006-10-16 |
| 1235219478 | Creative Orthotics & Prosthetics, Inc. | Durable Medical Equipment & Medical Supplies | 6 Rhoads Dr, Utica, NY 13502-6317 | 2006-10-16 |
| 1922188176 | Creative Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 100 John Roemmelt Dr, Suite 200, Horseheads, NY 14845-8301 | 2006-10-16 |
| Street Address |
65 PENNSYLVANIA AVE SUITE 207 |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13903-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323194 | Shari L Nichols | Podiatrist | 65 Pennsylvania Ave, Suite 200, Binghamton, NY 13903-1651 | 2005-08-10 |
| 1447896212 | Vicky L Honour | Massage Therapist | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2019-11-26 |
| 1114409323 | Shannon Hilliker | Physician Assistant | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2018-09-04 |
| 1477918597 | Vestal Healthcare, LLC | Clinic/Center | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2015-12-16 |
| 1316334154 | Larry Schow | Student in an Organized Health Care Education/Training Program | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2015-04-20 |
| 1679970461 | Eric Joseph Crist | Physical Therapist | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2014-11-24 |
| 1295146066 | Jennifer M Cobb | Physical Therapist | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2014-05-15 |
| 1043630551 | Mark Schreck | Orthopaedic Surgery | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2014-04-23 |
| 1194009449 | Dori Lynn Mcgowan | Occupational Therapist | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2011-10-05 |
| 1720361454 | Benjamin Paul Dvorsky | Physical Therapist | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2011-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982241121 | Diane Irene Davie | Specialist | 37 1/2 Hayes St, Binghamton, NY 13903 | 2019-12-06 |
| 1801440375 | Jonathan James Pelc | Pharmacist | 50 Pennsylvania Avenue, Binghamton, NY 13903 | 2019-08-01 |
| 1265815211 | Miriam Mikaya | Nurse Practitioner | 10-42 Mitchel Avenue, Binghamton, NY 13903 | 2015-07-08 |
| 1538541925 | Marianne Valenzuela | Nurse Practitioner | 27 Park Avenue, 5th Floor, Binghamton, NY 13903 | 2015-06-23 |
| 1962884379 | Norman Dale Powell Sr. | Nurse's Aide | 43 Webster St., Apt. 2, Binghamton, NY 13903 | 2015-06-22 |
| 1659612562 | Helena Maureen Ladue | Counselor | 10 Mitchell Avenue, New Horizons, Binghamton, NY 13903 | 2013-03-04 |
| 1144597527 | Allan M. Fernandez | Family Medicine | 35 Felters Road, Building 8, Binghamton, NY 13903 | 2011-11-29 |
| 1386875482 | Earle John Reome | Pharmacist | 10-34 Mitchell Avenue, Binghamton, NY 13903 | 2009-08-06 |
| 1619113149 | Teresa Mae Grant | Massage Therapist | 20 Mitchell Avenue, Binghamton, NY 13903 | 2009-01-06 |
| 1932383791 | Diane Lucille Brenner | Licensed Practical Nurse | 60 Saratoga Ave, 5 20, Binghamton, NY 13903 | 2007-12-28 |
| Find all providers in zip 13903 | ||||
| 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 |
|---|---|---|---|---|
| 1023369345 | Center for Orthotic & Prosthetic Care of New York LLC | Prosthetic/Orthotic Supplier | 156 Main St, Binghamton, NY 13905-2611 | 2012-09-26 |
| 1962683144 | Fairchild Pedorthotic/orthotic Services LLC | Prosthetic/Orthotic Supplier | 477 State St, Colonail Plaza, Binghamton, NY 13901-2341 | 2007-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538796545 | Ffh Concepts LLC | Prosthetic/Orthotic Supplier | 545 Saw Mill River Rd Ste 1a, Ardsley, NY 10502-2159 | 2020-03-27 |
| 1417584046 | Alta Vista Inc. | Prosthetic/Orthotic Supplier | 420 Madison Ave Fl 2, New York, NY 10017-1195 | 2020-03-24 |
| 1114554904 | Britica Management Group Inc | Prosthetic/Orthotic Supplier | 40 Gardenville Pkwy Ste 200, West Seneca, NY 14224-1399 | 2020-03-24 |
| 1992332837 | Genesis II Hair Replacement Studio | Prosthetic/Orthotic Supplier | 405 E Taft Rd, North Syracuse, NY 13212-3734 | 2020-03-23 |
| 1548895113 | East Coast Orthotic & Prosthetic Corp. | Prosthetic/Orthotic Supplier | 326 2nd Ave, New York, NY 10003-2732 | 2020-03-04 |
| 1154964955 | Northern Orthopedic Laboratory Inc. | Prosthetic/Orthotic Supplier | 6604 State Highway 56 Apt 6, Potsdam, NY 13676-3546 | 2019-10-24 |
| 1285275354 | Chanta Mabry | Prosthetic/Orthotic Supplier | 1787 Fulton St, Brooklyn, NY 11233-3029 | 2019-09-30 |
| 1659921716 | Millenium Medical Products, Inc | Prosthetic/Orthotic Supplier | 204 19 12th Ave, Rockaway Point, NY 11697-1120 | 2019-09-19 |
| 1700435278 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 200 Old Country Rd Ste 590a, Mineola, NY 11501-4235 | 2019-09-08 |
| 1265081731 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1393 Veterans Memorial Hwy Ste 112n, Hauppauge, NY 11788-3066 | 2019-09-08 |
| Find all providers with the same taxonomy | ||||
| City | BINGHAMTON |
| Zip Code | 13903 |
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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.