PERKINS ORTHOTIC AND PROSTHETIC LAB INC (NPI# 1629133053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629133053 |
| Entity Type | Organization |
| Organization Name | PERKINS ORTHOTIC AND PROSTHETIC LAB INC |
| Other Organization Name | PERKINS ORTHOTIC, PROSTHETIC AND PEDORTHIC CENTER |
| Practice Address |
910 N 32nd St Fort Smith AR 72903-1031 |
| Practice Telephone | 4797831110 |
| Practice Fax Number | 4797831112 |
| Mailing Telephone | 4797831110 |
| Mailing Fax Number | 4797831112 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | MRS. SHELLEY PERKINS (PRESIDENT OWNER) |
| Authorized Official Telephone | 4797831110 |
| Authorized Official Credential | CO, CPED, BOCOC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 156229716 | 05 | |
| OK | 200099100A | 05 | |
| AR | ABP ADMINISTRATION | 29622 | 01 |
| AR | BCBS | 49898 | 01 |
| Other Name | Type Code |
|---|---|
| Perkins Orthotic, Prosthetic and Pedorthic Center | Doing Business As Name - Organization |
| Street Address |
910 N 32ND ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| 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 |
|---|---|---|---|---|
| 1952774259 | Maranda Watkins | Prosthetic/Orthotic Supplier | 601 S 21st St, Fort Smith, AR 72901-3914 | 2015-11-09 |
| 1114152568 | Pink Ribbon Boutique Inc | Prosthetic/Orthotic Supplier | 601 South 21st Street, Fort Smith, AR 72901 | 2009-05-28 |
| 1518942788 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 1411 Dodson Ave, Fort Smith, AR 72901-5109 | 2005-12-10 |
| 1811982226 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 2909 S 66th St, Fort Smith, AR 72903-5003 | 2005-09-13 |
| 1174902340 | Total Rehabilitation, Inc | Prosthetic/Orthotic Supplier | 5905 Remington Cir, Fort Smith, AR 72903-6523 | 2015-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028371 | West Orthotics, LLC | Prosthetic/Orthotic Supplier | 2711 S Caraway Rd Ste B, Jonesboro, AR 72401-7334 | 2020-09-22 |
| 1114547528 | Chelsea N. Briggs | Prosthetic/Orthotic Supplier | 4601 S Main St Apt 514, Pine Bluff, AR 71601-7482 | 2020-04-26 |
| 1184244600 | Chelsea Briggs | Prosthetic/Orthotic Supplier | 601 S Main St Apt 514, Pine Bluff, AR 71601 | 2020-04-24 |
| 1457832354 | Celebrity Styles Inc. | Prosthetic/Orthotic Supplier | 7 Shackleford Plz, Little Rock, AR 72211-1826 | 2018-08-28 |
| 1184104309 | Prosthetic One | Prosthetic/Orthotic Supplier | 11908 Kanis Rd Ste G7, Little Rock, AR 72211-3773 | 2018-08-16 |
| 1376036962 | David A. Yates & Associates, Inc. | Prosthetic/Orthotic Supplier | 2103 S 54th St Ste 1, Rogers, AR 72758-8126 | 2018-06-08 |
| 1831629070 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 612 Office Park Dr, Bryant, AR 72022-7519 | 2017-06-19 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1760721971 | David A. Yates & Associates, Inc. | Prosthetic/Orthotic Supplier | 820 Professional Acres Dr, Jonesboro, AR 72401-4340 | 2013-02-07 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
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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.