WALL PROSTHETICS & ORTHOTICS, INC (NPI# 1992813547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992813547 |
| Entity Type | Organization |
| Organization Name | WALL PROSTHETICS & ORTHOTICS, INC |
| Practice Address |
2 Centennial Dr Unit 6a Peabody MA 01960-7911 |
| Practice Telephone | 9785389800 |
| Practice Fax Number | 9785389811 |
| Mailing Telephone | 9785389800 |
| Mailing Fax Number | 9785389811 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-11-10 |
| Authorized Official Name | MR. JOHN ARTHUR WALL (PRESIDENT/ PROSTHETIST/ ORTHOTIST) |
| Authorized Official Telephone | 9787453500 |
| Authorized Official Credential | PT, CPO, FAAOP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NETWORK HEALTH O & P | 986834 | 01 |
| MA | HPHC ORTHOTICS/ PROSTHET | 704517 | 01 |
| MA | NHP ORTHOTICS/ PROSTHETIC | 0020903 | 01 |
| MA | 1500007 | 05 | |
| MA | BC/BS ORTHOTICS/ PROSTHET | 392254 | 01 |
| MA | TUFTS ORTHOTICS/ PROSTHET | 685834 | 01 |
| Street Address |
2 CENTENNIAL DR UNIT 6A |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-7911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285949990 | Daw LLC | Pharmacy | 2 Centennial Dr, Peabody, MA 01960 | 2010-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| 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 |
|---|---|---|---|---|
| 1598130239 | Boston Brace International Inc | Prosthetic/Orthotic Supplier | 2 Centennial Dr Ste 340b, Peabody, MA 01960-7919 | 2015-12-07 |
| 1841430246 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 210 Andover St, Peabody, MA 01960-1647 | 2009-02-24 |
| 1841387586 | Cornell Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 4 Centennial Dr, 103, Peabody, MA 01960-7935 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261913 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 372 Chandler St Ste 104, Worcester, MA 01602-3314 | 2020-09-29 |
| 1952961054 | Esteem Hair | Prosthetic/Orthotic Supplier | 43 Pearl St Apt 2, Dorchester, MA 02125-1815 | 2019-06-19 |
| 1477042489 | New England Orthotic & Prosthetic Systems, LLC | Prosthetic/Orthotic Supplier | 801 Main St Ste 8, Concord, MA 01742-3319 | 2018-05-04 |
| 1134636426 | Orthotics & Prosthetics Laboratories, Inc. | Prosthetic/Orthotic Supplier | 3500 Main St Ste 1, Springfield, MA 01107-1150 | 2018-01-08 |
| 1508317694 | Balance Salon, Inc | Prosthetic/Orthotic Supplier | 535 College Hwy, Southwick, MA 01077-9813 | 2016-10-24 |
| 1184083073 | Pioneer Valley Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 139 Damon Rd, Ste B11, Northampton, MA 01060-1832 | 2016-02-19 |
| 1306223417 | Orthotics & Prosthetics Laboratories, Inc. | Prosthetic/Orthotic Supplier | 700 North St, Unit 2, Pittsfield, MA 01201-4153 | 2015-04-28 |
| 1386047710 | Footit Medical Supply, Inc | Prosthetic/Orthotic Supplier | 340 Memorial Ave, West Springfield, MA 01089-4008 | 2014-09-30 |
| 1861747974 | A Step Ahead-boston, LLC | Prosthetic/Orthotic Supplier | 21 A Street, Burlington, MA 01803 | 2012-07-16 |
| 1679859607 | The Orthotic and Prosthetic Centers, LLC | Prosthetic/Orthotic Supplier | 124 Long Pond Rd Suite 3, Plymouth, MA 02360-2664 | 2011-10-21 |
| 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.