CREATIVE PEDORTHICS, LLC (NPI# 1972864353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972864353 |
| Entity Type | Organization |
| Organization Name | CREATIVE PEDORTHICS, LLC |
| Other Organization Name | ARCHES |
| Practice Address |
1616 Azalea Dr Suite 105 Temple TX 76502-2774 |
| Practice Telephone | 2547732693 |
| Mailing Telephone | 2547732693 |
| Enumeration Date | 2012-06-02 |
| Last Update Date | 2013-01-07 |
| Authorized Official Name | MR. KARLHEINZ REICHL (OWNER/MANAGER) |
| Authorized Official Telephone | 2547732693 |
| Authorized Official Credential | CPED., BOCPED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE PTAN | 6716820001 | 01 |
| Other Name | Type Code |
|---|---|
| Arches | Doing Business As Name - Organization |
| Street Address |
1616 AZALEA DR SUITE 105 |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-2774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750344727 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 1616 Azalea Dr, Temple, TX 76502-2774 | 2006-04-10 |
| 1639770787 | Rebekah Hernandez Spalding Brannon | Physical Therapist | 1616 Azalea Dr, Temple, TX 76502-2774 | 2020-11-05 |
| 1780246694 | Zachary Bailey | Physical Therapist | 1616 Azalea Dr, Temple, TX 76502-2774 | 2019-07-01 |
| 1427530807 | Gina Jasso | Licensed Vocational Nurse | 1616 Azalea Dr, Temple, TX 76502 | 2018-09-03 |
| 1003353004 | Kristin Strupp Helmus | Physical Therapist | 1616 Azalea Dr, Temple, TX 76502-2774 | 2017-01-27 |
| 1972831717 | Hallmark Homecare, Lp | Home Health | 1616 Azalea Dr, Suite 101, Temple, TX 76502-2772 | 2009-12-04 |
| 1578738019 | Select Physical Therapy Holdings Inc | Clinic/Center | 1616 Azalea Dr, Ste 102, Temple, TX 76502-2774 | 2008-04-25 |
| 1053421784 | James Hall | Physical Therapist | 1616 Azalea Dr, Ste 106, Temple, TX 76502-2774 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] 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 |
|---|---|---|---|---|
| 1972112555 | Lida Huang | Pedorthist | 7801 N Lamar Blvd Ste C59, Austin, TX 78752-1033 | 2020-07-29 |
| 1427559079 | Inspired Wellness | Pedorthist | 3645 Calder Ave, Beaumont, TX 77706-5027 | 2018-02-27 |
| 1194239517 | Michael Leo Ashley | Pedorthist | 3301 Glenshire Dr Apt 3202, Balch Springs, TX 75180-5226 | 2017-11-21 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356722136 | Robert Dale Compton | Pedorthist | 1069 E. Gonzales Street, Seguin, TX 78155-5808 | 2015-06-17 |
| 1346528247 | Carlos Jose Benitez | Pedorthist | 900 Plaza Dr Ste 4b, Mission, TX 78572-6049 | 2011-07-26 |
| 1992728661 | Medhealth Medical Equipment Inc | Pedorthist | 9900 Westpark Dr Ste 304, Houston, TX 77063 | 2006-07-25 |
| 1700431145 | Stacy Donnia Christman | Pedorthist | 1106 Alston Ave Ste 201, Ft Worth, TX 76104-4644 | 2019-08-02 |
| 1487028049 | Brandon L Cook | Pedorthist | 5420 West Loop S, Ste 1200, Bellaire, TX 77401-2107 | 2015-11-19 |
| 1497125108 | Stephanie Santarsiero | Pedorthist | 2500 City West Blvd, Suite 300, Houston, TX 77042-3033 | 2015-10-07 |
| 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.