PENSACOLA ORTHOTIC & PROSTHETIC SPECIALTIES, INC (NPI# 1972812014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972812014 |
| Entity Type | Organization |
| Organization Name | PENSACOLA ORTHOTIC & PROSTHETIC SPECIALTIES, INC |
| Practice Address |
5855 Creek Station Dr Pensacola FL 32504-8626 |
| Practice Telephone | 8504787676 |
| Practice Fax Number | 8504787699 |
| Mailing Telephone | 8504787676 |
| Mailing Fax Number | 8504787699 |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-12-03 |
| Authorized Official Name | THOMAS D DECKERT (PRESIDENT) |
| Authorized Official Telephone | 8504787676 |
| Authorized Official Credential | C.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | ORT17 | FL | Suppliers |
| Street Address |
5855 CREEK STATION DR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275598336 | Nancy L. Hoover-larkey | Physical Therapist | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2006-04-19 |
| 1386208536 | Stephanie L. Pannell | Nurse Practitioner | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2019-04-23 |
| 1770054082 | Tiffany Briggs | Nurse Practitioner | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2018-12-12 |
| 1447615455 | Escambia Community Clinics Inc | Clinic/Center | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2015-12-17 |
| 1104096114 | Leah K. Bullard | Physical Therapy Assistant | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2008-03-05 |
| 1447428503 | Laurie Q Seigh | Nurse Practitioner | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2008-02-12 |
| 1033263207 | Kathleen Louise Pavel | Physician Assistant | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2007-01-23 |
| 1083792915 | Kenneth E. Byrd | Physical Therapist | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2006-11-01 |
| 1265468268 | Ann M Ross | Obstetrics & Gynecology | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| 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 |
|---|---|---|---|---|
| 1124445721 | South Beach Orthotics & Prosthetics Inc. | Prosthetic/Orthotic Supplier | 5700 North Davis Highway #7, Pensacola, FL 32503 | 2014-03-21 |
| 1750661005 | John Imm Prosthetics, LLC | Prosthetic/Orthotic Supplier | 3 W Garden St Ste 404, Pensacola, FL 32502-5633 | 2011-08-18 |
| 1740508019 | Performance Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 3010 N 12th Ave, Pensacola, FL 32503-4067 | 2010-05-12 |
| 1831157684 | Gilg Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 87 W Hood Dr, Pensacola, FL 32534-3019 | 2006-05-02 |
| 1972592996 | Verhi Inc Dba Gulf Coast Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 824 Creighton Rd, Pensacola, FL 32504-7028 | 2005-10-21 |
| 1588117055 | A Step Ahead Pedorthics & Orthotics LLC | Prosthetic/Orthotic Supplier | 2401 Executive Plaza Rd, Suite 1-a, Pensacola, FL 32504-8277 | 2016-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120192 | Solaris Ortho, LLC | Prosthetic/Orthotic Supplier | 1112 W Shell Point Rd Ste 304, Ruskin, FL 33570-3400 | 2020-09-24 |
| 1467068635 | Laquavian Eliacin | Prosthetic/Orthotic Supplier | 1738 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5467 | 2020-09-22 |
| 1831705805 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 5453 N 59th St, Tampa, FL 33610-2011 | 2020-09-16 |
| 1790397875 | Gessy Rigaud | Prosthetic/Orthotic Supplier | 5100 Sw 41st St Apt 115, Hollywood, FL 33023-6988 | 2020-08-19 |
| 1609486737 | Beauty Vault Lux LLC. | Prosthetic/Orthotic Supplier | 5100 Sw 41st St, Hollywood, FL 33023-6948 | 2020-08-04 |
| 1003424680 | Spartan Capital Investments | Prosthetic/Orthotic Supplier | 1621 E Edgewood Dr Ste B, Lakeland, FL 33803-3365 | 2020-07-20 |
| 1518583012 | Ts&a Medical Supply LLC | Prosthetic/Orthotic Supplier | 13555 Automobile Blvd Ste 650, Clearwater, FL 33762-3854 | 2020-06-19 |
| 1962027128 | Qbc Durable Medical Equipment | Prosthetic/Orthotic Supplier | 931 Village Blvd # 256, West Palm Beach, FL 33409-1803 | 2020-06-13 |
| 1083239891 | K.n. Medical Wigs Inc | Prosthetic/Orthotic Supplier | 651 E Main St Ste I, Haines City, FL 33844-4240 | 2020-06-08 |
| 1730703851 | Mahnke's Orthotics & Prosthetics of Deerfield Inc | Prosthetic/Orthotic Supplier | 4208 N 31st Ave Ste 2, Hollywood, FL 33021-2002 | 2020-06-04 |
| 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.