PRO TEC ORTHOTICS (NPI# 1750791190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750791190 |
| Entity Type | Organization |
| Organization Name | PRO TEC ORTHOTICS |
| Practice Address |
3625 W Main St Suite 108 Norman OK 73072-4656 |
| Practice Telephone | 4055704790 |
| Practice Fax Number | 4055704790 |
| Mailing Telephone | 4055704790 |
| Mailing Fax Number | 4055704790 |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |
| Authorized Official Name | MR. JOHN REED BRIGANCE (ORTHOTIST) |
| Authorized Official Telephone | 4055704790 |
| Authorized Official Credential | C.O.,L.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | LO 10 | OK | Suppliers |
| Street Address |
3625 W MAIN ST SUITE 108 |
| City | NORMAN |
| State | OK |
| Zip Code | 73072-4656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194714972 | Norman Behavioral Health Group, LLC | Psychologist | 3625 W Main St, Suite 100, Norman, OK 73072-4656 | 2005-10-14 |
| 1902165608 | Kristen Leigh Bishop | Counselor | 3625 W Main St, Suite 100, Norman, OK 73072-4656 | 2012-05-15 |
| 1477883882 | Barbara W. Wright, Lpc, LLC | Counselor | 3625 W Main St, Suite 100, Norman, OK 73072-4656 | 2010-01-06 |
| 1174755268 | Harriet Ann Bohanan | Counselor | 3625 W Main St, Suite 100, Norman, OK 73072-4656 | 2009-08-22 |
| 1902040660 | Jennifer Lynn Meigs | Counselor | 3625 W Main St, Suite 100, Norman, OK 73072-4656 | 2009-04-25 |
| 1316134380 | Alan Ivy | Psychologist | 3625 W Main St, Suite 100, Norman, OK 73072-4656 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1801384953 | Serena Browning | Registered Nurse | 3913 Ripple Ave, Norman, OK 73072 | 2018-04-24 |
| 1508363771 | Dental Depot of 36th & Tecumseh, Pllc | Dentist | 3401 W. Tecumseh Rd., Norman, OK 73072 | 2018-04-12 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1174060792 | Rebekah Karnes | Nurse Practitioner | 2120 Mckown Dr Ste B, Norman, OK 73072 | 2017-01-20 |
| 1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
| 1043699150 | Alan Jay Washington | Social Worker | 3200 Marshall Ave. Outpatient Services-norman, Suite 220 Strong Family Development, Norman, OK 73072 | 2015-05-21 |
| Find all providers in zip 73072 | ||||
| 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 |
|---|---|---|---|---|
| 1043553019 | Edna C Hulley | Prosthetic/Orthotic Supplier | 1018 24th Ave Nw, Suite 110, Norman, OK 73069-6543 | 2013-03-28 |
| 1487997987 | Gary Birks | Prosthetic/Orthotic Supplier | 1018 24th Ave Nw, Suite110, Norman, OK 73069-6543 | 2013-04-03 |
| 1063755056 | Susanna M Lloyd | Prosthetic/Orthotic Supplier | 1018 24th Ave Nw, Suite 110, Norman, OK 73069-6543 | 2013-03-28 |
| 1265689814 | Orthocare Services | Prosthetic/Orthotic Supplier | 1322 N Interstate Dr, Norman, OK 73072-3393 | 2008-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515541 | Lamoor Beauty Supply | Prosthetic/Orthotic Supplier | 2214 N Martin Luther King Ave, Oklahoma City, OK 73111-2404 | 2019-12-10 |
| 1790246361 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 5480 Main St, Del City, OK 73115-5516 | 2019-03-27 |
| 1841776705 | Progressive Orthotic & Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 10 E 6th St., Grove, OK 74344 | 2018-07-13 |
| 1598258378 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 5601 Nw 72nd Street, Suite 257, Oklahoma City, OK 73132-5920 | 2018-06-07 |
| 1508363482 | Progressive Orthotic & Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 2121 S Columbia Ave Ste Ll8, Tulsa, OK 74114-3512 | 2018-04-09 |
| 1093237711 | Elevate Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 3317 E Memorial Rd Ste 103, Edmond, OK 73013-7095 | 2017-07-14 |
| 1710413489 | Raymon Turpin | Prosthetic/Orthotic Supplier | 6565 S Yale Ave Ste 901, Tulsa, OK 74136-8310 | 2017-05-02 |
| 1265970040 | Fenner, Inc | Prosthetic/Orthotic Supplier | 2019 W Broadway St, Muskogee, OK 74401-2759 | 2017-02-01 |
| 1336510874 | Tatas for Now | Prosthetic/Orthotic Supplier | 2319 W Gore Blvd, Lawton, OK 73505-6301 | 2015-10-09 |
| 1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
| 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.