ORTHOTICS & PROSTHETICS LABS INC (NPI# 1679564546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679564546 |
Entity Type | Organization |
Organization Name | ORTHOTICS & PROSTHETICS LABS INC |
Practice Address |
300 Birnie Ave Ste 303 Springfield MA 01107-1107 |
Practice Telephone | 4137372404 |
Practice Fax Number | 4137331389 |
Mailing Telephone | 4137372404 |
Mailing Fax Number | 4137331389 |
Enumeration Date | 2005-10-31 |
Last Update Date | 2020-05-20 |
Authorized Official Name | MR. JAMES T HAAS (PRESIDENT) |
Authorized Official Telephone | 4137372404 |
Authorized Official Credential | CO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 1009994 | 05 | |
VETERANS ADMINISTRATORS | 65955037 | 01 | |
HARVARD PILGRIM HEALTHCAR | 701312 | 01 | |
TUFTS HEALTH PLAN | 803119 | 01 | |
BMC HEALTHNET PLAN | 000000006888 | 01 | |
CT | 3048436 | 05 | |
CONNECTICARE | 734427 | 01 | |
MA | 1540408 | 05 | |
MA | BCBS | 360154 | 01 |
TRICARE | S009509 | 01 | |
NEIGHBORHOOD HEALTH PLAN | 0008938 | 01 | |
HEALTH NEW ENGLAND | 15121 | 01 | |
MVP HEALTH PLAN | 833821 | 01 | |
FALLAN HEALTHCARE | 43871 | 01 | |
CIGNA | 475460 | 01 | |
AETNA | 553174 | 01 |
Street Address |
300 BIRNIE AVE STE 303 |
City | SPRINGFIELD |
State | MA |
Zip Code | 01107-1107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255337036 | Arif Matin | Pharmacist | 300 Birnie Ave, Ste 101, Springfield, MA 01107-1121 | 2005-06-25 |
1760092290 | Kristina Wendl | Physical Therapist | 300 Birnie Ave, Springfield, MA 01107-1107 | 2020-08-10 |
1427584945 | John Dayton | Occupational Therapist | 300 Birnie Ave, Springfield, MA 01107-1107 | 2017-05-03 |
1770023525 | Stephanie Ross | Occupational Therapist | 300 Birnie Ave, Springfield, MA 01107-1107 | 2017-02-27 |
1134574833 | Stephanie Anne Brusseau | Physical Therapist | 300 Birnie Ave, Suite 303, Springfield, MA 01107-1107 | 2016-04-30 |
1346602141 | Amped Rehab, LLC | Clinic/Center | 300 Birnie Ave, Suite 303, Springfield, MA 01107-1107 | 2016-03-22 |
1174983449 | Geoffrey Zielenski | Physical Therapist | 300 Birnie Ave, Suite 201, Springfield, MA 01107-1107 | 2016-03-01 |
1427422682 | Elizabeth Sklar | Physician Assistant | 300 Birnie Ave, Ste 201, Springfield, MA 01107-1107 | 2015-11-25 |
1598165540 | Brian K. Puchalski | Physician Assistant | 300 Birnie Ave, Suite 201, Springfield, MA 01107-1107 | 2014-08-27 |
1811301906 | Haley B. Pierson | Physician Assistant | 300 Birnie Ave, Suite 201, Springfield, MA 01107-1107 | 2014-06-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
Find all providers in zip 01107 |
Taxonomy Code | 222Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotist |
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
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 |
---|---|---|---|---|
1326316951 | Patrick Vincent Logan | Orthotist | 426 Indian Rock Dr, Springfield, PA 19064-1926 | 2011-12-10 |
1710099882 | Geza F Kogler | Orthotist | 2020 W Iles, Springfield, IL 62704 | 2006-08-31 |
1366461410 | Terry J Supan | Orthotist | 355 W Carpenter Street, Suite B, Springfield, IL 62702-4945 | 2006-07-19 |
1720502750 | Mellissa Rae Frietchen | Orthotist | 1246 E Walnut Lawn St, Springfield, MO 65804-4202 | 2017-08-01 |
1881952992 | Jason C Mccann | Orthotist | 3003 S Kansas Expy, Springfield, MO 65807-5969 | 2012-04-26 |
1184643231 | Daryl G Barth | Orthotist | 355 W Carpenter Street, Suite B, Springfield, IL 62702-4945 | 2006-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073664 | Daryl James Reuter | Orthotist | 51 Park St, Attleboro, MA 02703-2363 | 2020-11-05 |
1477056158 | Barbara A Clancy | Orthotist | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2018-03-09 |
1366973463 | Jeffrey Bonneville | Orthotist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2017-03-21 |
1770024739 | Mauricio A Ventura | Orthotist | 260 Tremont St, Biewend Building, Level B, Boston, MA 02116-5603 | 2017-03-10 |
1417330234 | Hema Patel | Orthotist | 150 S Huntington Ave, Jamaica Plain, MA 02130-4817 | 2015-06-30 |
1811243371 | Jared Leonard Caya | Orthotist | 184 Pleasant Valley St, Methuen, MA 01844-5817 | 2012-08-01 |
1295048767 | Daniel William Glynn | Orthotist | 4 Mountain Ave., Pembroke, MA 02359 | 2010-07-26 |
1922270677 | Robin L. Lovett | Orthotist | 840 Winter St, Waltham, MA 02451-1433 | 2008-04-01 |
1669545539 | Randy Scott Penney | Orthotist | 543 North Street, Suite 201, New Benford, MA 02740 | 2006-11-16 |
1689763955 | Daniel A Schrag | Orthotist | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-10-12 |
Find all providers with the same taxonomy |
City | SPRINGFIELD |
Zip Code | 01107 |
Please comment or provide details below to improve the information on ORTHOTICS & PROSTHETICS LABS INC.
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.