EXPERIENCE LEMIEUX (NPI# 1750900114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750900114 |
| Entity Type | Organization |
| Organization Name | EXPERIENCE LEMIEUX |
| Practice Address |
900 N 19th St Unit 3247 Philadelphia PA 19130-1561 |
| Practice Telephone | 2679971096 |
| Practice Fax Number | 8553757029 |
| Mailing Telephone | 2679971096 |
| Mailing Fax Number | 8553757029 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | MS. ASHLEY EDWARDS (OWNER) |
| Authorized Official Telephone | 2679971096 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LLC | 839670 | 01 |
| Street Address |
900 N 19TH ST UNIT 3247 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19130-1561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
| 1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
| 1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
| 1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
| 1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
| Find all providers in zip 19130 | ||||
| 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 |
|---|---|---|---|---|
| 1386257871 | Shi Shi Collection | Prosthetic/Orthotic Supplier | 6128 W Jefferson St, Philadelphia, PA 19151-3902 | 2020-08-25 |
| 1891337051 | Pamela Howard | Prosthetic/Orthotic Supplier | 5805 Germantown Ave Fl 2, Philadelphia, PA 19144-2138 | 2019-10-09 |
| 1205375706 | D.d. Daughters Lace Wig Beautique | Prosthetic/Orthotic Supplier | 424 W Chew Ave, Salon, 1st Floor, Philadelphia, PA 19120-2356 | 2017-02-16 |
| 1487191862 | Northeast Orthotics Inc. | Prosthetic/Orthotic Supplier | 3223 N Broad St Ste 150, Philadelphia, PA 19140-5007 | 2017-01-24 |
| 1134482169 | Independence Prosthetics-orthotics, Inc. | Prosthetic/Orthotic Supplier | 1500 S Christopher Columbus Blvd, Floor 2, Philadelphia, PA 19147-5504 | 2012-06-25 |
| 1366681470 | Best Medical Supply, Inc. | Prosthetic/Orthotic Supplier | 13023 Bustleton Ave, Philadelphia, PA 19116-1672 | 2009-02-12 |
| 1932379765 | Cocco Enterprises Inc | Prosthetic/Orthotic Supplier | 2745 W. Passyunk Ave, Philadelphia, PA 19145-4012 | 2008-03-07 |
| 1942402003 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | Novacare Complex, Two Novacare Way, Philadelphia, PA 19145 | 2007-06-01 |
| 1831314822 | Lenny's Pedorthics & Orthopedics Inc. | Prosthetic/Orthotic Supplier | 256 S 10th St, Philadelphia, PA 19107-6776 | 2007-04-16 |
| 1134129166 | Harry J Lawall & Son, Inc. | Prosthetic/Orthotic Supplier | 8028 Frankford Ave, Philadelphia, PA 19136-2616 | 2005-08-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19130 |
Please comment or provide details below to improve the information on EXPERIENCE LEMIEUX.
| 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.