HARTFORD ORTHOTICS, LLC (NPI# 1710166863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710166863 |
| Entity Type | Organization |
| Organization Name | HARTFORD ORTHOTICS, LLC |
| Practice Address |
51 Shunpike Rd Suite 41 Cromwell CT 06416-2497 |
| Mailing Address |
2842 Main St #212 Glastonbury CT 06033 |
| Practice Telephone | 8606357653 |
| Practice Fax Number | 8606352080 |
| Mailing Telephone | 8606705874 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2014-01-17 |
| Authorized Official Name | WESLEY SKORSKI (OWNER) |
| Authorized Official Telephone | 8606705874 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 444102 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM | 12DME0838CT01 | 01 |
| CT | WELLCARE | N292377 | 01 |
| CT | 004245511 | 05 | |
| CT | HEALTHNET | CW0774 | 01 |
| Street Address |
51 SHUNPIKE RD SUITE 41 |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205065000 | Larry Lawson | Technician/Technologist | 51 Shunpike Rd, Suite 29, Cromwell, CT 06416-2497 | 2009-07-14 |
| 1598936239 | Contemporary Optics LLC | Eyewear Supplier (Equipment, not the service) | 51 Shunpike Rd, Suite 29, Cromwell, CT 06416-2497 | 2008-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| 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 |
|---|---|---|---|---|
| 1437588175 | New England Orthotic & Prosthetics Systems, LLC | Prosthetic/Orthotic Supplier | 51 Shunpike Rd Ste 41, Cromwell, CT 06416-2497 | 2013-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487214326 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 100 Water St Ste A, Norwalk, CT 06854-3067 | 2019-06-13 |
| 1679043525 | Adaptive Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 100 Retreat Ave Ste 302, Hartford, CT 06106-2528 | 2018-12-04 |
| 1396231189 | Prosthetic & Orthotic Solutions, LLC. | Prosthetic/Orthotic Supplier | 45 Wintonbury Ave Ste 311, Bloomfield, CT 06002-2470 | 2018-07-05 |
| 1437662624 | Adaptive Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 567 Vauxhall Street Ext Ste 109, Waterford, CT 06385-4331 | 2017-11-09 |
| 1972027043 | Macy Op | Prosthetic/Orthotic Supplier | 305 Flanders Rd Unit 2, East Lyme, CT 06333-1743 | 2017-08-01 |
| 1467994731 | Adaptive Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 113 Salem Tpke Ste 6, Norwich, CT 06360-6484 | 2016-11-17 |
| 1225580087 | Lavant Garde Hair | Prosthetic/Orthotic Supplier | 580 Newfield Ave, Bridgeport, CT 06607-1718 | 2016-10-27 |
| 1891187399 | Associated Medical Inc | Prosthetic/Orthotic Supplier | 85 Retreat Ave Ste 1, Cancer Center Boutique Hartford Hospital, Hartford, CT 06106-2555 | 2015-02-20 |
| 1063828747 | Gregory Carford | Prosthetic/Orthotic Supplier | 37 Hunt St, Norwalk, CT 06853-1045 | 2014-07-02 |
| 1306267034 | Live Every Day | Prosthetic/Orthotic Supplier | 138 Hopmeadow St, Weatogue, CT 06089-9793 | 2013-12-24 |
| Find all providers with the same taxonomy | ||||
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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.