MIDWEST ORTHOTIC & TECHNOLOGY CENTER OMAHA, LLC (NPI# 1477722445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477722445 |
| Entity Type | Organization |
| Organization Name | MIDWEST ORTHOTIC & TECHNOLOGY CENTER OMAHA, LLC |
| Other Organization Name | TRUST ORTHOTIC TECHNOLOGIES |
| Practice Address |
11225 Davenport St Suite 106 Omaha NE 68154-2641 |
| Mailing Address |
17530 Dugdale Dr South Bend IN 46635-1583 |
| Practice Telephone | 4029333942 |
| Practice Fax Number | 4029642926 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2010-11-24 |
| Authorized Official Name | BERNIE T VELDMAN (MANAGING PARTNER) |
| Authorized Official Telephone | 5742333352 |
| Authorized Official Credential | C.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDWEST ORTHOTIC SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 1--25653000 | 05 |
| Other Name | Type Code |
|---|---|
| TRUST ORTHOTIC TECHNOLOGIES | Doing Business As Name - Organization |
| Street Address |
11225 DAVENPORT ST SUITE 106 |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740322320 | Adrian Martin | Marriage & Family Therapist | 11225 Davenport St, Suite 103, Omaha, NE 68154-2641 | 2007-02-12 |
| 1013368018 | Stephanie Levy Licsw LLC | Community/Behavioral Health | 11225 Davenport St, Suite 103, Omaha, NE 68154-2641 | 2016-06-30 |
| 1396174892 | Alixa Rx LLC | Pharmacy | 11225 Davenport St, Suite 104a, Omaha, NE 68154-2641 | 2013-11-05 |
| 1972711224 | Core Conditions, P.C. | Marriage & Family Therapist | 11225 Davenport St, Suite 103, Omaha, NE 68154-2641 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| 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 |
|---|---|---|---|---|
| 1386957983 | Corr Medical Solutions Inc. | Prosthetic/Orthotic Supplier | 4940 South 114th Street, Suite 3, Omaha, NE 68137 | 2010-07-23 |
| 1295048577 | Innovative Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 9202 W Dodge Rd Ste 110, Omaha, NE 68114-3318 | 2010-07-15 |
| 1811972599 | Florence Footworks | Prosthetic/Orthotic Supplier | 5102 Yew Ln, Omaha, NE 68152-5117 | 2005-12-14 |
| 1598752735 | Lifestyles Inc | Prosthetic/Orthotic Supplier | 15418 West Center Rd, Omaha, NE 68144 | 2005-10-03 |
| 1336140011 | Burton Prosthetics Inc | Prosthetic/Orthotic Supplier | 5329 Center St, Omaha, NE 68106-2338 | 2005-08-03 |
| 1922478866 | Benchmark Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 12100 W Center Rd, Suite 524, Omaha, NE 68144-3969 | 2015-10-05 |
| 1528216900 | Cassi Wigington | Prosthetic/Orthotic Supplier | 13057 W Center Rd, Suite 25, Omaha, NE 68144-3748 | 2008-08-28 |
| 1508036062 | Torrison Eye Care | Prosthetic/Orthotic Supplier | 6675 Sorensen Pkwy, Omaha, NE 68152-2139 | 2008-03-11 |
| 1649487810 | Lifestyles Inc | Prosthetic/Orthotic Supplier | 16909 Lakeside Hills Ct Ste 111, Omaha, NE 68130-4661 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912527789 | Limbcrafters LLC | Prosthetic/Orthotic Supplier | 306 E 6th St, Kearney, NE 68847-7449 | 2020-04-22 |
| 1255970539 | New Horizons Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 5609 1st Ave Ste A-2, Kearney, NE 68847-2436 | 2020-01-03 |
| 1063938892 | Louis F Olberding, Dds, PC | Prosthetic/Orthotic Supplier | 3901 Pine Lake Rd Ste 115, Lincoln, NE 68516-5427 | 2017-08-14 |
| 1144663253 | Physical Therapy Solutions PC | Prosthetic/Orthotic Supplier | 2130 S 17th St Ste 200, Lincoln, NE 68502-3750 | 2013-04-09 |
| 1710233143 | Orthotic Prosthetic Solutions, L.L.C. | Prosthetic/Orthotic Supplier | 1012 W 36th St Ste 5, Scottsbluff, NE 69361-5008 | 2012-08-03 |
| 1487927059 | Sending Rainbows | Prosthetic/Orthotic Supplier | 2596 Fox Run, Fremont, NE 68025-7973 | 2012-02-13 |
| 1548545585 | Innovative Prosthetics & Orthotics of Grand Island, LLC | Prosthetic/Orthotic Supplier | 1213 Allen Dr, Grand Island, NE 68803-3333 | 2011-10-20 |
| 1528395670 | Active Scoliosiscare | Prosthetic/Orthotic Supplier | 5757 S. 34th St., Suite 300, Lincoln, NE 68516 | 2009-11-11 |
| 1831369347 | Randy Scott Obermier | Prosthetic/Orthotic Supplier | 514 N Grant Ave, York, NE 68467-3039 | 2008-03-11 |
| 1184831349 | Lifestyles Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 6940 Van Dorn St Ste 101, Lincoln, NE 68506-2858 | 2007-05-17 |
| 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.