TETER ORTHOTICS & PROSTHETICS, INC (NPI# 1841219813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841219813 |
| Entity Type | Organization |
| Organization Name | TETER ORTHOTICS & PROSTHETICS, INC |
| Practice Address |
2645 W Houghton Lake Dr Ste 1 Houghton Lake MI 48629-8262 |
| Mailing Address |
1225 W Front St Ste 1 Traverse City MI 49684-2368 |
| Practice Telephone | 9893660698 |
| Practice Fax Number | 2319471370 |
| Mailing Telephone | 2319475701 |
| Mailing Fax Number | 8772176424 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-04-20 |
| Authorized Official Name | CAROL S HUMFLEET (OFFICE MGR) |
| Authorized Official Telephone | 2319475701 |
| Is Organization Subpart | Y |
| Parent Organization Name | TETER ORTHOTICS & PROSTHETICS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 3820261415 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4947031 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178026 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 106 S Greenville West Dr Ste 3, Greenville, MI 48838-3504 | 2020-09-11 |
| 1326542358 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 2500 Niles Rd Ste 11, Saint Joseph, MI 49085-3268 | 2018-03-23 |
| 1427305952 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1320 Millard Rd Ste A100, Three Rivers, MI 49093-8282 | 2012-08-15 |
| 1215035043 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1415 Kilborn Dr, Petoskey, MI 49770-9258 | 2006-09-20 |
| 1407962871 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 913 E Ludington Ave, Ludington, MI 49431-2437 | 2006-08-21 |
| 1750300729 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1516 Trimble Ave, Kalamazoo, MI 49048-1635 | 2006-07-19 |
| 1598783557 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 604 Galen St, Grayling, MI 49738-8788 | 2006-07-18 |
| 1225078298 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 4024 Park East Ct Se Ste B, Grand Rapids, MI 49546-8810 | 2006-06-07 |
| 1588604680 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 2147 Proffesional Drive Ste C, Gaylord, MI 49735-1558 | 2006-06-07 |
| 1801891973 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1225 W Front St, Suite A, Traverse City, MI 49684-2317 | 2005-06-16 |
| Street Address |
2645 W HOUGHTON LAKE DR STE 1 |
| City | HOUGHTON LAKE |
| State | MI |
| Zip Code | 48629-8262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827529 | Jessica Nichole Costanza | Behavior Technician | 1840 W Houghton Lake Drive, Unit 2, Prudenville, MI 48629 | 2018-10-16 |
| 1326590134 | Gregory Stuck | Chiropractor | 3231 Towerhill Rd., Houghton Lake, MI 48629 | 2016-10-27 |
| 1871992271 | Rite Aid Pharmacy | Pharmacy | 4652 W Houghton Lake Rd, Houghton Lake, MI 48629 | 2014-08-21 |
| 1386835882 | Hance Family Chiropractic Care Pllc | Chiropractor | 3508 W Houghton Lake Drive, Houghton Lake, MI 48629 | 2007-08-08 |
| 1598955247 | Michael Gerald Coon | Dental Laboratory Technician | 3232 W Houghton Lake Drive, Houghton Lake, MI 48629 | 2007-07-30 |
| 1114090578 | Thomas Steven Rudzinski | Dentist | 140 River St, Elk Rapids, MI 48629 | 2006-11-15 |
| 1154417749 | Mary Anne Vanoosterhout | Dietitian, Registered | 9249 West Lake City Road, Houghton Lake, MI 48629 | 2006-10-04 |
| 1063507564 | Ann L Rushlow | Physical Therapy Assistant | 9249 West Lake City Rd, Houghton Lake, MI 48629 | 2006-10-03 |
| 1306848783 | Houghton Lake Ambulance Service | Ambulance | 9166 W Lake City Rd., Houghton Lake, MI 48629 | 2005-08-15 |
| 1235130923 | Family Eye Care PC | Optometrist | 6525 A W Houghton Lake Dr, Houghton Lake, MI 48629 | 2005-08-03 |
| Find all providers in zip 48629 | ||||
| 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 |
|---|---|---|---|---|
| 1578178026 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 106 S Greenville West Dr Ste 3, Greenville, MI 48838-3504 | 2020-09-11 |
| 1508474297 | Brandy Denise Smith-bounds | Prosthetic/Orthotic Supplier | 41660 Huntington Dr, Sterling Heights, MI 48313-3128 | 2020-07-19 |
| 1912537705 | The W Beauty and Barber Lounge | Prosthetic/Orthotic Supplier | 18718 Grand River Ave, Detroit, MI 48223-2215 | 2020-01-21 |
| 1710520507 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 19725 Allen Rd Ste B, Brownstown Twp, MI 48183-1090 | 2019-10-24 |
| 1952962003 | Best Choice Senior Services, Inc | Prosthetic/Orthotic Supplier | 27177 Lahser Rd Ste 206, Southfield, MI 48034-8468 | 2019-06-27 |
| 1124686704 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 2550 Niles Rd Ste 1, Saint Joseph, MI 49085-3270 | 2019-05-30 |
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1306304670 | Ddp Mobility and Safety Medical Equipment | Prosthetic/Orthotic Supplier | 27258 Cecile St, Dearborn Heights, MI 48127-3393 | 2019-03-06 |
| 1538626221 | Crossroads Orthotics & Consultation, Inc. | Prosthetic/Orthotic Supplier | 4025 Holt Rd Ste 110, Holt, MI 48842-6019 | 2019-02-28 |
| 1952886343 | Confidence Beyond Hair Loss | Prosthetic/Orthotic Supplier | 14830 Lakeshore Dr, Grand Haven, MI 49417-8636 | 2018-10-01 |
| Find all providers with the same taxonomy | ||||
| City | HOUGHTON LAKE |
| Zip Code | 48629 |
Please comment or provide details below to improve the information on TETER ORTHOTICS & PROSTHETICS, INC.
| 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.