MOBILE ORTHOTIC & PROSTHETIC SERVICES (NPI# 1497090641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497090641 |
| Entity Type | Organization |
| Organization Name | MOBILE ORTHOTIC & PROSTHETIC SERVICES |
| Practice Address |
429 Salem St Bridgeport CT 06606-4684 |
| Practice Telephone | 9147203321 |
| Mailing Telephone | 9147203321 |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |
| Authorized Official Name | MR. GRADY G LEWIN (MEMBER) |
| Authorized Official Telephone | 9147203321 |
| Authorized Official Credential | BOCP., CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
429 SALEM ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-4684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| 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 |
|---|---|---|---|---|
| 1225580087 | Lavant Garde Hair | Prosthetic/Orthotic Supplier | 580 Newfield Ave, Bridgeport, CT 06607-1718 | 2016-10-27 |
| 1124478854 | Anatomical Designs, Inc. | Prosthetic/Orthotic Supplier | 8000 Jerry Dove Drive Suite 104, Bridgeport, WV 26330-0000 | 2016-06-14 |
| 1457555286 | Morgantown Orthotic & Prosthetic Center, Inc | Prosthetic/Orthotic Supplier | 527 Medical Park Dr, Suite 110, Bridgeport, WV 26330-9008 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487214326 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 100 Water St Ste A, Norwalk, CT 06854-3067 | 2019-06-13 |
| 1679043525 | Adaptive Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 100 Retreat Ave Ste 302, Hartford, CT 06106-2528 | 2018-12-04 |
| 1396231189 | Prosthetic & Orthotic Solutions, LLC. | Prosthetic/Orthotic Supplier | 45 Wintonbury Ave Ste 311, Bloomfield, CT 06002-2470 | 2018-07-05 |
| 1437662624 | Adaptive Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 567 Vauxhall Street Ext Ste 109, Waterford, CT 06385-4331 | 2017-11-09 |
| 1972027043 | Macy Op | Prosthetic/Orthotic Supplier | 305 Flanders Rd Unit 2, East Lyme, CT 06333-1743 | 2017-08-01 |
| 1467994731 | Adaptive Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 113 Salem Tpke Ste 6, Norwich, CT 06360-6484 | 2016-11-17 |
| 1891187399 | Associated Medical Inc | Prosthetic/Orthotic Supplier | 85 Retreat Ave Ste 1, Cancer Center Boutique Hartford Hospital, Hartford, CT 06106-2555 | 2015-02-20 |
| 1063828747 | Gregory Carford | Prosthetic/Orthotic Supplier | 37 Hunt St, Norwalk, CT 06853-1045 | 2014-07-02 |
| 1306267034 | Live Every Day | Prosthetic/Orthotic Supplier | 138 Hopmeadow St, Weatogue, CT 06089-9793 | 2013-12-24 |
| 1457605784 | Hair Stop | Prosthetic/Orthotic Supplier | 41 Poquonock Ave, Windsor, CT 06095-2540 | 2012-11-08 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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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.