CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF NORTH CAROLINA, INC.


Address: 130 Oakdale Rd, Johnson City, NY 13790-1758
Phone: 6072353066

CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF NORTH CAROLINA, INC. (NPI# 1700185238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700185238
Entity Type Organization
Organization Name CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF NORTH CAROLINA, INC.
Other Organization Name CENTER FOR ORTHOTIC & PROSTHETIC CARE
Practice Address 130 Oakdale Rd
Johnson City
NY 13790-1758
Practice Telephone 6072353066
Practice Fax Number 6072353068
Mailing Telephone 6072353066
Mailing Fax Number 6072353068
Enumeration Date 2011-03-23
Last Update Date 2019-02-10
Authorized Official Name GRACE ANGELINE (REG COMPLIANCE SPECIALIST III)
Authorized Official Telephone 7149612102
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier NY Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03357086 05

Other Provider/Organization Names

Other Name Type Code
Center for Orthotic & Prosthetic Care Doing Business As Name - Organization

Office Location

Street Address 130 OAKDALE RD
City JOHNSON CITY
State NY
Zip Code 13790-1758

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669471785 Marcus Frank Klemmt Specialist 130 Oakdale Rd, Johnson City, NY 13790-1758 2005-07-20
1801076815 Klemmt Ortho & Prost. Inc. Prosthetic/Orthotic Supplier 130 Oakdale Rd, Johnson City, NY 13790-1758 2007-11-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578107645 Thomas William Sorber Occupational Therapist 33 Harrison St, Johnson City, Johnson City, NY 13790 2019-11-01
1326534116 Silver Linings Golden Memory Care Clinic/Center 4416 Watson Blvd, Johnson City, NY 13790 2018-07-05
1508308545 Irene Mukeli Nzasi Registered Nurse 156 Corliss Ave Suite 107, Johnson City, NY 13790 2016-11-08
1053867754 Tabitha Rae Toman Physical Therapist 34 Harrison St, Johnson City, NY 13790 2016-09-01
1235685066 Dianne Brunner Physical Therapist 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 2016-08-31
1578982682 Tracy Lynn Brown Optometrist 223 Reynolds Road, Johnson City, NY 13790 2014-04-16
1083041495 Maryann Serbonich Pharmacist 52 Harrison Street, Johnson City, NY 13790 2013-09-30
1134464399 Kasey Connor Folger Speech-Language Pathologist 3 Laurel St., Johnson City, NY 13790 2012-11-29
1467797571 Bodyworks Physical Therapy LLC Clinic/Center 765 Harry L Drive, Johnson City, NY 13790 2012-11-29
1548518400 Melissa L Korosec Nurse Practitioner 30 Harrison St., Suite 250, Johnson City, NY 13790 2012-08-27
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023540267 Bristol Orthotics & Prosthetics, Inc Prosthetic/Orthotic Supplier 114 W Springbrook Dr, Johnson City, TN 37604-1757 2017-03-28
1417138975 Alexander Prosthetics & Orthotics Inc Prosthetic/Orthotic Supplier 1604 Lamons Ln, Johnson City, TN 37604-8224 2007-11-26
1124101373 Footheals Prosthetics and Orthotics, Inc. Prosthetic/Orthotic Supplier 2406 Susannah St, Lower Level, Johnson City, TN 37601-1725 2006-10-23
1457440166 Excel Prosthetics & Orthotics, Inc. Prosthetic/Orthotic Supplier 1319 Sunset Drive, Suite 203, Johnson City, TN 37604-5474 2006-10-12
1457443624 Victory Orthotics & Prosthetics LLC Prosthetic/Orthotic Supplier 2333 Knob Creek Rd Ste 14, Johnson City, TN 37604 2006-09-28
1265452650 Graybeal Orthopedic, LLC Prosthetic/Orthotic Supplier 107 E Myrtle Ave, Johnson City, TN 37601-4631 2006-07-20
1801076815 Klemmt Ortho & Prost. Inc. Prosthetic/Orthotic Supplier 130 Oakdale Rd, Johnson City, NY 13790-1758 2007-11-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538796545 Ffh Concepts LLC Prosthetic/Orthotic Supplier 545 Saw Mill River Rd Ste 1a, Ardsley, NY 10502-2159 2020-03-27
1417584046 Alta Vista Inc. Prosthetic/Orthotic Supplier 420 Madison Ave Fl 2, New York, NY 10017-1195 2020-03-24
1114554904 Britica Management Group Inc Prosthetic/Orthotic Supplier 40 Gardenville Pkwy Ste 200, West Seneca, NY 14224-1399 2020-03-24
1992332837 Genesis II Hair Replacement Studio Prosthetic/Orthotic Supplier 405 E Taft Rd, North Syracuse, NY 13212-3734 2020-03-23
1548895113 East Coast Orthotic & Prosthetic Corp. Prosthetic/Orthotic Supplier 326 2nd Ave, New York, NY 10003-2732 2020-03-04
1154964955 Northern Orthopedic Laboratory Inc. Prosthetic/Orthotic Supplier 6604 State Highway 56 Apt 6, Potsdam, NY 13676-3546 2019-10-24
1285275354 Chanta Mabry Prosthetic/Orthotic Supplier 1787 Fulton St, Brooklyn, NY 11233-3029 2019-09-30
1659921716 Millenium Medical Products, Inc Prosthetic/Orthotic Supplier 204 19 12th Ave, Rockaway Point, NY 11697-1120 2019-09-19
1700435278 Cranial Technologies, Inc. Prosthetic/Orthotic Supplier 200 Old Country Rd Ste 590a, Mineola, NY 11501-4235 2019-09-08
1265081731 Cranial Technologies, Inc. Prosthetic/Orthotic Supplier 1393 Veterans Memorial Hwy Ste 112n, Hauppauge, NY 11788-3066 2019-09-08
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Competitor

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City JOHNSON CITY
Zip Code 13790

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Dataset Information

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.

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