ADVANCED PROSTHETIC CENTER LLC (NPI# 1568450880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568450880 |
| Entity Type | Organization |
| Organization Name | ADVANCED PROSTHETIC CENTER LLC |
| Practice Address |
9109 Blondo St Omaha NE 68134-6100 |
| Mailing Address |
4155 E La Palma Ave Ste B400 Anaheim CA 92807-1857 |
| Practice Telephone | 4023999993 |
| Practice Fax Number | 4027789739 |
| Mailing Telephone | 7149612102 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2019-11-18 |
| Authorized Official Name | MS. GRACE ANGELINE (REG COMPLIANCE SPECIALIST III) |
| Authorized Official Telephone | 7149612102 |
| Is Organization Subpart | Y |
| Parent Organization Name | HANGER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | ========= | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | ========= | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BCBS | 08873 | 01 |
| UNITED HEALTH CARE | 6400212 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Prosthetics Center, LLC | Doing Business As Name - Organization |
| Hanger Clinic | Doing Business As Name - Organization |
| Street Address |
9109 BLONDO ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68134-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033528310 | Darren Stoop | Physical Therapist | 9109 Blondo St, Omaha, NE 68134-6100 | 2014-08-12 |
| 1184989477 | Jason Meints | Physical Therapist | 9109 Blondo St, Omaha, NE 68134-6100 | 2012-07-12 |
| 1447513098 | Lindsey N Sandau-tomlin | Physical Therapist | 9109 Blondo St, Omaha, NE 68134-6100 | 2012-06-19 |
| 1003101734 | Alison Helen Larsen | Physical Therapist | 9109 Blondo St, Omaha, NE 68134-6100 | 2011-06-10 |
| 1083949507 | Tyler James Wyant | Physical Therapist | 9109 Blondo St, Omaha, NE 68134-6100 | 2009-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659802262 | Destinee Myres | Registered Nurse | 9270 Ames Ave, Omaha, NE 68134 | 2017-03-24 |
| 1689062861 | Good Hope Healthcare, Inc. | Skilled Nursing Facility | 7501 Keystone Drive, Omaha, NE 68134 | 2014-12-22 |
| 1538557772 | Megan Pendley | Counselor | 2808 North 75th Street, Omaha, NE 68134 | 2014-12-22 |
| 1477823771 | Warren Leonard Wallin | Pharmacist | 5225 North 90 St Street, Omaha, NE 68134 | 2012-01-04 |
| 1851613731 | Bobbi J Bussart | Counselor | 5843 N 90th, Omaha, NE 68134 | 2010-02-19 |
| 1386879559 | Makovicka Harms Group PC | Physical Therapist | 4201 N 90th Street, Omaha, NE 68134 | 2009-05-18 |
| 1093906216 | Deepthi Samindla | Family Medicine | 4229 North 90th Street, Omaha, NE 68134 | 2007-08-05 |
| 1740489384 | Tami Michelle Teut | Occupational Therapist | 7300 Graceland Drive, Omaha, NE 68134 | 2007-07-13 |
| 1447389200 | Mary Jo Atwood | Counselor | 10642 Old Maple Rd, Omaha, NE 68134 | 2007-03-05 |
| 1568502391 | Kimberly Lavern Mcmorris | Counselor | 2805 N 72 Street, Omaha, NE 68134 | 2007-02-08 |
| Find all providers in zip 68134 | ||||
| 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 |
| 1477722445 | Midwest Orthotic & Technology Center Omaha, LLC | Prosthetic/Orthotic Supplier | 11225 Davenport St, Suite 106, Omaha, NE 68154-2641 | 2008-02-25 |
| 1649487810 | Lifestyles Inc | Prosthetic/Orthotic Supplier | 16909 Lakeside Hills Ct Ste 111, Omaha, NE 68130-4661 | 2007-05-17 |
| Find all providers in OMAHA | ||||
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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.