CARDINAL PROSTHETICS & ORTHOTICS INC (NPI# 1528069192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528069192 |
| Entity Type | Organization |
| Organization Name | CARDINAL PROSTHETICS & ORTHOTICS INC |
| Practice Address |
779 Tamiami Trail Ste 8 Port Charlotte FL 33953 |
| Practice Telephone | 9412350252 |
| Practice Fax Number | 9412357273 |
| Mailing Telephone | 9412350252 |
| Mailing Fax Number | 9412357273 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVEN LAWRENCE FRIES (PRESIDENT AND OWNER) |
| Authorized Official Telephone | 9412357273 |
| Authorized Official Credential | LPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | POR 54 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | M2531 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063414993 | Cardinal Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 13240 N Cleveland Ave, Suite #1, Fort Myers, FL 33903-4855 | 2005-08-11 |
| Street Address |
779 TAMIAMI TRAIL STE 8 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376079368 | Dawn Olson | Developmental Therapist | 14299 Silver Lakes Cir, Port Charlotte, FL 33953 | 2017-05-11 |
| 1164580536 | Brian R Webster | Physician Assistant | 530 Tamiami Trail, Port Charlotte, FL 33953 | 2006-12-05 |
| 1720210404 | Elaine F Pyzikiewicz | Massage Therapist | 474 Lomond Dr, Port Charlotte, FL 33953-1526 | 2009-08-14 |
| 1013313212 | Kathleen Spencer | Speech-Language Pathologist | 15152 Buswell Ave, Port Charlotte, FL 33953-2007 | 2014-11-15 |
| 1235426719 | Christina M Parker | Nurse Practitioner | 430 Border St, Port Charlotte, FL 33953-2015 | 2011-07-05 |
| 1952514283 | Pascal P Bordy | Family Medicine | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2007-05-07 |
| 1326552001 | Vladislav Zalevskiy | Massage Therapist | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2017-11-16 |
| 1154502284 | Pascal Bordy Md Pa | Family Medicine | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2007-11-16 |
| 1497296891 | Cody Bishop | Physical Therapy Assistant | 708 Bowman Ter, Port Charlotte, FL 33953-2133 | 2017-03-17 |
| 1629238837 | Special Training & Rehabilitation of Charlotte County, Inc. | Day Training, Developmentally Disabled Services | 525 Bowman Ter, Port Charlotte, FL 33953-2186 | 2008-06-11 |
| Find all providers in zip 33953 | ||||
| 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 |
|---|---|---|---|---|
| 1093930919 | O&p Associates of Charlotte Cty Inc. | Prosthetic/Orthotic Supplier | 21216 Olean Blvd Ste 1, Port Charlotte, FL 33952-6722 | 2007-04-16 |
| 1922065622 | Norpro Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 3028 Caring Way, Unit 1, Port Charlotte, FL 33952-5300 | 2006-04-27 |
| 1073983367 | Brevard Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 21216 Olean Blvd, Suite 1, Port Charlotte, FL 33952-6722 | 2015-09-30 |
| 1003107509 | Me Unlimited, Inc. | Prosthetic/Orthotic Supplier | 1825 Tamiami Trl, Suite E2, Port Charlotte, FL 33948-1077 | 2011-05-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33953 |
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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.