PRO-THOTICS TECHNOLOGY, INC (NPI# 1467839605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467839605 |
| Entity Type | Organization |
| Organization Name | PRO-THOTICS TECHNOLOGY, INC |
| Other Organization Name | PROTHOTICS HEALTH |
| Practice Address |
8333 W Mcnab Rd Ste 228 Tamarac FL 33321-3242 |
| Mailing Address |
285 Sills Rd Bldg 3 Ste D East Patchogue NY 11772-4869 |
| Practice Telephone | 9548000587 |
| Practice Fax Number | 8008166380 |
| Mailing Telephone | 6314381075 |
| Mailing Fax Number | 8773665492 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |
| Authorized Official Name | MR. JOHN PETER AFFENITA (PRESIDENT) |
| Authorized Official Telephone | 6314381075 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Prothotics Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619356227 | Pro-thotics Technology, Inc | Prosthetic/Orthotic Supplier | 210 Bridge Plaza Dr, 1st Floor, Manalapan, NJ 07726-1753 | 2015-05-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | PRO-THOTICS TECHNOLOGY, INC. | 285 Sills Rd 3d, Patchogue, NY 11772 |
| Street Address |
8333 W MCNAB RD STE 228 |
| City | TAMARAC |
| State | FL |
| Zip Code | 33321-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346218187 | Amy Catherine Roskin | Obstetrics & Gynecology | 8333 W Mcnab Rd, Ste 122, Tamarac, FL 33321-3203 | 2006-03-09 |
| 1407247240 | John Affenita | Orthotist | 8333 W Mcnab Rd, Ste 228, Tamarac, FL 33321-3242 | 2015-02-16 |
| 1679964068 | Kemal Karyemez | Physical Therapy Assistant | 8333 W Mcnab Rd, Suite 223, Tamarac, FL 33321-3242 | 2015-02-07 |
| 1801291497 | Vitality Rehab, LLC | Clinic/Center | 8333 W Mcnab Rd, 223, Tamarac, FL 33321-3242 | 2014-10-26 |
| 1902248370 | Wellness Health Services of America LLC | Health Educator | 8333 W Mcnab Rd, Suite 201, Tamarac, FL 33321-3242 | 2013-07-25 |
| 1538428024 | Debbie Hewitt | Social Worker | 8333 W Mcnab Rd, Suite 235, Tamarac, FL 33321-3242 | 2012-05-03 |
| 1841522760 | Howard James Ackerman | Dentist | 8333 W Mcnab Rd, Ste 119, Tamarac, FL 33321-3242 | 2010-02-02 |
| 1477884716 | Debra B Gross Lcsw P A | Social Worker | 8333 W Mcnab Rd, Suite 131, Tamarac, FL 33321-3242 | 2010-01-27 |
| 1659500783 | Jose Rafael Porras | Dentist | 8333 W Mcnab Rd, Suite 104, Tamarac, FL 33321-3242 | 2009-07-10 |
| 1194951137 | Sandra L Moonan | Specialist | 8333 W Mcnab Rd, Suite 205, Tamarac, FL 33321-3242 | 2009-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565146 | Rx Care 17 LLC | Pharmacy | 7142 N. University Drive, Tamarac, FL 33321 | 2020-07-08 |
| 1588204333 | Md Now Medical Centers Inc | Clinic/Center | 5817 N University Dr, Tamarac, FL 33321 | 2020-01-09 |
| 1992356919 | Ideal Smiles Dental Care | Clinic/Center | 6536 N. University Drive, Tamarac, FL 33321 | 2019-09-20 |
| 1447725551 | Keron Andrea Lee Cameron | Nurse Practitioner | 7961 Nw 90th Ave, Tamarac, FL 33321 | 2018-10-05 |
| 1134603681 | Sandra Julieth Gomez | Behavior Technician | 2865 Sw 16th Street Apt 1, Fort Lauderdale, FL 33321 | 2018-09-20 |
| 1396244646 | Coral Springs Hyperberic Oxygen and Wound Care Center LLC | Clinic/Center | 8333 W Mcnab, 107, Tamarac, FL 33321 | 2018-02-01 |
| 1124542741 | Franklyn Internal Medicine, LLC | Hospitalist | 7201 North University Dr, Tamarac, FL 33321 | 2017-07-26 |
| 1144742792 | Luz Natalia Franco Taveras | Dentist | 7300 W Mcnab Rd Ste 115, Tamarac, FL 33321 | 2017-07-14 |
| 1154861185 | Judith Ann Jacobs | Marriage & Family Therapist | 8400 N University Dr Ste 209, Tamarac, FL 33321 | 2017-02-23 |
| 1326584970 | Nelly Foeman | Behavior Technician | 5959 Royal Way, Tamarac, FL 33321 | 2017-01-06 |
| Find all providers in zip 33321 | ||||
| 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 |
|---|---|---|---|---|
| 1306919808 | Custom Fits O & P Services Inc | Prosthetic/Orthotic Supplier | 8401 W Mcnab Road, Tamarac, FL 33321 | 2006-11-15 |
| 1720161193 | Professional Rehab Ortho Labs Inc | Prosthetic/Orthotic Supplier | 8401 W Mcnab Rd, Tamarac, FL 33321-3207 | 2006-10-22 |
| 1003099862 | The Eyeglass Man Inc. | Prosthetic/Orthotic Supplier | 5865 N University Dr, Tamarac, FL 33321-4617 | 2007-12-14 |
| 1548343916 | Customfit Prolabs Inc | Prosthetic/Orthotic Supplier | 8401 W Mcnab Rd, Tamarac, FL 33321-3207 | 2006-10-22 |
| 1780679449 | Tropical Palms Hand Therapy, Inc | Prosthetic/Orthotic Supplier | 7225 N University Dr, Suite 201a, Tamarac, FL 33321-2908 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120192 | Solaris Ortho, LLC | Prosthetic/Orthotic Supplier | 1112 W Shell Point Rd Ste 304, Ruskin, FL 33570-3400 | 2020-09-24 |
| 1467068635 | Laquavian Eliacin | Prosthetic/Orthotic Supplier | 1738 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5467 | 2020-09-22 |
| 1831705805 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 5453 N 59th St, Tampa, FL 33610-2011 | 2020-09-16 |
| 1790397875 | Gessy Rigaud | Prosthetic/Orthotic Supplier | 5100 Sw 41st St Apt 115, Hollywood, FL 33023-6988 | 2020-08-19 |
| 1609486737 | Beauty Vault Lux LLC. | Prosthetic/Orthotic Supplier | 5100 Sw 41st St, Hollywood, FL 33023-6948 | 2020-08-04 |
| 1003424680 | Spartan Capital Investments | Prosthetic/Orthotic Supplier | 1621 E Edgewood Dr Ste B, Lakeland, FL 33803-3365 | 2020-07-20 |
| 1518583012 | Ts&a Medical Supply LLC | Prosthetic/Orthotic Supplier | 13555 Automobile Blvd Ste 650, Clearwater, FL 33762-3854 | 2020-06-19 |
| 1962027128 | Qbc Durable Medical Equipment | Prosthetic/Orthotic Supplier | 931 Village Blvd # 256, West Palm Beach, FL 33409-1803 | 2020-06-13 |
| 1083239891 | K.n. Medical Wigs Inc | Prosthetic/Orthotic Supplier | 651 E Main St Ste I, Haines City, FL 33844-4240 | 2020-06-08 |
| 1730703851 | Mahnke's Orthotics & Prosthetics of Deerfield Inc | Prosthetic/Orthotic Supplier | 4208 N 31st Ave Ste 2, Hollywood, FL 33021-2002 | 2020-06-04 |
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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.