TONAWANDA LIMB & BRACE INC (NPI# 1477631646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477631646 |
| Entity Type | Organization |
| Organization Name | TONAWANDA LIMB & BRACE INC |
| Practice Address |
545 Delaware Street Tonawanda NY 14150 |
| Practice Telephone | 7166951131 |
| Practice Fax Number | 7166950016 |
| Mailing Telephone | 7166951131 |
| Mailing Fax Number | 7166950016 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-10-09 |
| Authorized Official Name | MR. RICHARD CATIPOVIC (COMPANY PRESIDENT) |
| Authorized Official Telephone | 7166951131 |
| Authorized Official Credential | CERTIFIED PROSTH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00552947 | 05 | |
| NY | IHA | 2952043 | 01 |
| NY | BCBS | 551054001 | 01 |
| Street Address |
545 DELAWARE STREET |
| City | TONAWANDA |
| State | NY |
| Zip Code | 14150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349338 | Jennifer Legrand | Dietitian, Registered | 62 Raintree Is Apt 10, Tonawanda, NY 14150 | 2019-08-01 |
| 1245707934 | Anthony John Dellavalle | Emergency Medicine | 341 Niagara Street, Tonawanda, NY 14150 | 2018-10-31 |
| 1871088450 | Karen Mittlefehldt | Physical Therapist | 2540 Sheridan Drive, Tonawanda, NY 14150 | 2018-06-26 |
| 1871017194 | Amanda Beth Mrzygut | Emergency Medical Technician, Basic | 269 Mapleview Dr, Tonawanda, NY 14150 | 2017-07-28 |
| 1700248648 | Nathan Willett | Technician, Other | 432 Forbes Ave., Tonawanda, NY 14150 | 2016-03-21 |
| 1831555432 | Safe Ride of Wny Inc | Taxi | 2813 Niagara St, Tonawanda, NY 14150 | 2016-01-12 |
| 1447509278 | Nancy Lynne Haas | Licensed Practical Nurse | 173 Linwood Ave, Tonawanda, NY 14150 | 2012-09-07 |
| 1558646331 | Nancy Cliff | Registered Nurse | 39 O'hara Rd, Tonawanda, NY 14150 | 2011-10-12 |
| 1801195979 | Joann Mirabella | Speech-Language Pathologist | 313 Wrexham Ct. North, Tonawanda, NY 14150 | 2011-03-15 |
| 1841593829 | Marie A Burger | Social Worker | 130 Syracuse St., Tonawanda, NY 14150 | 2010-12-13 |
| Find all providers in zip 14150 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| 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 |
|---|---|---|---|---|
| 1073128393 | Antoinette Natalie Massiah | Prosthetist | 1246 Sterling Pl, Brooklyn, NY 11213-2719 | 2020-09-14 |
| 1265044036 | Joel Gunderson | Prosthetist | 411 W 52nd St Apt 2a, New York, NY 10019-5637 | 2020-08-21 |
| 1366052086 | New Wig Salon | Prosthetist | 378 Ridgefield Rd, Hauppauge, NY 11788-2316 | 2020-08-06 |
| 1285270066 | Core To Core LLC | Prosthetist | 1507 Avenue M Ste 200, Brooklyn, NY 11230-5210 | 2019-11-27 |
| 1487202339 | Christine Anna Booker-sommer | Prosthetist | 1064 Harlem Rd, Cheektowaga, NY 14227-1739 | 2019-09-03 |
| 1538620364 | Vanessa Crumity | Prosthetist | 970 Clinton Ave S, Rochester, NY 14620-2073 | 2019-03-26 |
| 1548726235 | Michelle Len Moore | Prosthetist | 620 Lenox Ave, Suite 4c, New York, NY 10037 | 2019-02-18 |
| 1063983864 | Allensia Annette Brown | Prosthetist | 368 Langfield Dr, Buffalo, NY 14215-3459 | 2018-12-06 |
| 1457839177 | Lindsay Rouse | Prosthetist | 818 E 225th St, Bronx, NY 10466-4406 | 2018-08-03 |
| 1043705924 | Keturah S. Clark | Prosthetist | 936 Exchange St Ste E-103, Rochester, NY 14608-2801 | 2018-06-24 |
| Find all providers with the same taxonomy | ||||
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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.