NUTMEG ORTHOTICS AND PROSTHETICS LLC (NPI# 1831578913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831578913 |
| Entity Type | Organization |
| Organization Name | NUTMEG ORTHOTICS AND PROSTHETICS LLC |
| Practice Address |
85 Barnes Rd Suite 302 Wallingford CT 06492-1832 |
| Mailing Address |
73 Aspetuck Ave New Milford CT 06776-2825 |
| Practice Telephone | 2036784627 |
| Practice Fax Number | 2036784628 |
| Mailing Telephone | 8603552443 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |
| Authorized Official Name | JENNIFER L MANOUSE (MEMBER) |
| Authorized Official Telephone | 8603552443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CPO2372 | CT | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558798355 | Nutmeg Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 85 Barnes Rd Ste 302, Wallingford, CT 06492-1832 | 2013-10-11 |
| Street Address |
85 BARNES RD SUITE 302 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255373734 | Jason Stuart Kirk | Physical Therapist | 85 Barnes Rd, Suite 109, Wallingford, CT 06492-1832 | 2006-06-11 |
| 1659816627 | Docaxt, Inc | Orthopaedic Surgery | 85 Barnes Rd, Suite 301, Wallingford, CT 06492-1832 | 2016-12-30 |
| 1477939015 | Brian Sniffin | Physical Therapist | 85 Barnes Rd, Wallingford, CT 06492-1832 | 2015-08-05 |
| 1508299496 | Tirzah Grace Antoine | Physical Therapist | 85 Barnes Rd, Suite 109, Wallingford, CT 06492-1832 | 2013-08-14 |
| 1568737443 | Healthdrive Behavioral Health, LLC | Social Worker | 85 Barnes Rd, Suite 207, Wallingford, CT 06492-1832 | 2012-03-12 |
| 1497025746 | Calatayud Chiropractic Center, PC | Chiropractor | 85 Barnes Rd, Suite 101, Wallingford, CT 06492-1832 | 2012-01-04 |
| 1477843944 | Judith Ann Nist | Dental Hygienist | 85 Barnes Rd, Suite 207, Wallingford, CT 06492-1832 | 2011-04-18 |
| 1790081131 | Renee Scatton | Technician/Technologist | 85 Barnes Rd, Suite 207, Wallingford, CT 06492-1832 | 2011-02-02 |
| 1609170273 | Julie C Vanderkroef | Dental Hygienist | 85 Barnes Rd, Suite 207, Wallingford, CT 06492-1832 | 2010-12-22 |
| 1487955076 | Laura Ellen Berger | Dentist | 85 Barnes Rd, Suite 207, Wallingford, CT 06492-1832 | 2010-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| 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 |
|---|---|---|---|---|
| 1144302696 | Patrick Francis Donnelly | Prosthetic/Orthotic Supplier | 85 Barnes Rd Ste 302, Wallingford, CT 06492-1832 | 2006-10-20 |
| 1598279598 | Brace and Limb of Connecticut LLC | Prosthetic/Orthotic Supplier | 85 Barnes Rd Ste 302, Wallingford, CT 06492-1832 | 2017-11-29 |
| 1558798355 | Nutmeg Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 85 Barnes Rd Ste 302, Wallingford, CT 06492-1832 | 2013-10-11 |
| 1427250885 | Masonicare Health Center | Prosthetic/Orthotic Supplier | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2007-06-05 |
| 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 | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
Please comment or provide details below to improve the information on NUTMEG ORTHOTICS AND PROSTHETICS LLC.
| 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.