INNOVATIVE PROSTHETICS & ORTHOTICS OF GRAND ISLAND, LLC (NPI# 1548545585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548545585 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE PROSTHETICS & ORTHOTICS OF GRAND ISLAND, LLC |
| Practice Address |
1213 Allen Dr Grand Island NE 68803-3333 |
| Practice Telephone | 3086751508 |
| Practice Fax Number | 3086751509 |
| Mailing Telephone | 3086751508 |
| Mailing Fax Number | 3086751509 |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2014-10-16 |
| Authorized Official Name | RAKESH SRIVASTAVA (OWNER) |
| Authorized Official Telephone | 4024614931 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
1213 ALLEN DR |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803-3333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
| 1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
| 1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
| 1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
| 1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
| Find all providers in zip 68803 | ||||
| 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 |
|---|---|---|---|---|
| 1871599142 | Nebraska Orthotic & Prosthetic | Prosthetic/Orthotic Supplier | 710 N Diers Ave, Ste 0, Grand Island, NE 68803-4976 | 2005-06-22 |
| 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 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | GRAND ISLAND |
| Zip Code | 68803 |
Please comment or provide details below to improve the information on INNOVATIVE PROSTHETICS & ORTHOTICS OF GRAND ISLAND, LLC.
| 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.