PROSTHETIC TECHNOLOGIES LLC (NPI# 1952852220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952852220 |
| Entity Type | Organization |
| Organization Name | PROSTHETIC TECHNOLOGIES LLC |
| Practice Address |
333 N Alabama St Suite 350 Indianapolis IN 46204-2034 |
| Mailing Address |
335 W 9th St Unit 150 Indianapolis IN 46202-3121 |
| Practice Telephone | 3178044729 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | SHAUN O'BRIEN (CEO) |
| Authorized Official Telephone | 3178044729 |
| Authorized Official Credential | CP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
333 N ALABAMA ST SUITE 350 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46204-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881638690 | Mark R Roth | Psychologist | 333 N Alabama St, Suite 350, Indianapolis, IN 46204-2034 | 2006-06-15 |
| 1952924318 | Pdi Health In LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 333 N Alabama St, Indianapolis, IN 46204-2034 | 2020-05-20 |
| 1013561711 | Signal Health Group, Hospice Care Inc. | Hospice Care, Community Based | 333 N Alabama St, Indianapolis, IN 46204-2034 | 2019-07-31 |
| 1063919827 | Signal Health Group Inc | Internal Medicine | 333 N Alabama St, Indianapolis, IN 46204-2034 | 2018-04-09 |
| 1629462148 | Excellent Home Care LLC | Home Health | 333 N Alabama St, Ste 353, Indianapolis, IN 46204-2034 | 2015-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1225691207 | Kawthar Mohamed | Student in an Organized Health Care Education/Training Program | 120 W Michigan St # Cl630, Indianapolis, IN 46204 | 2019-04-16 |
| 1457853962 | Tracie Lynn King | Physical Therapy Assistant | 500 N Capitol Ave Unit A, Indianapolis, IN 46204 | 2018-03-01 |
| 1013436831 | Kayla Michelle Jackson | Social Worker | 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 | 2017-09-13 |
| 1912434010 | Latrice N Baxter | Counselor | 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 | 2017-05-19 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| 1922546969 | Makenzie Brinker | Specialist/Technologist | 800 N. Capital Ave, 420, Indianapolis, IN 46204 | 2017-02-10 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1194176263 | Bradley Cox | Dentist | 451 E Market St Apt 448, Indianapolis, IN 46204 | 2016-06-29 |
| Find all providers in zip 46204 | ||||
| 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 |
|---|---|---|---|---|
| 1639781081 | Kenney Orthopedics Indianapolis, LLC | Prosthetic/Orthotic Supplier | 1801 N Senate Blvd Ste 420, Indianapolis, IN 46202-1228 | 2020-08-18 |
| 1710465166 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10603 N Meridian St Ste 120, Indianapolis, IN 46290-1055 | 2018-07-29 |
| 1568871200 | Phyllis Davis Cosmetologist | Prosthetic/Orthotic Supplier | 2336 E 53rd St, Indianapolis, IN 46220-3430 | 2014-08-07 |
| 1295145068 | Visionary Enterprises Inc | Prosthetic/Orthotic Supplier | 1440 E County Line Rd Ste 1600, Figleaf Boutique Crcc-s, Indianapolis, IN 46227-0963 | 2014-05-02 |
| 1801223714 | Advanced Orthopro, Inc. | Prosthetic/Orthotic Supplier | 8645 Founders Rd, Indianapolis, IN 46268-1336 | 2013-10-09 |
| 1588005649 | Orthorx, Inc. | Prosthetic/Orthotic Supplier | 8935 North Meridian Street, Suite 111, Indianapolis, IN 46260 | 2013-07-17 |
| 1922441518 | Carmel Orthodesign, LLC | Prosthetic/Orthotic Supplier | 9591 Valparaiso Ct, Indianapolis, IN 46268-1130 | 2013-04-12 |
| 1255681870 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 618 N High School Rd Ste B, Indianapolis, IN 46214-3684 | 2012-09-11 |
| 1760742274 | Orthotic and Prosthetic Designs, LLC | Prosthetic/Orthotic Supplier | 5120 Commerce Cir Ste 104, Indianapolis, IN 46237-9717 | 2012-05-18 |
| 1295000909 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 1900 N Meridian St, Indianapolis, IN 46202-1304 | 2012-03-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46204 |
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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.