CENTRAL ORTHOTICS LLC (NPI# 1053811174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053811174 |
| Entity Type | Organization |
| Organization Name | CENTRAL ORTHOTICS LLC |
| Practice Address |
431 Front St Republic MI 49879-9100 |
| Practice Telephone | 9063768000 |
| Practice Fax Number | 6168848119 |
| Mailing Telephone | 9063768000 |
| Mailing Fax Number | 6168848119 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | JON RICHARD TAPIO (ORTHOTIST/OWNER) |
| Authorized Official Telephone | 9063768000 |
| Authorized Official Credential | BOCO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | BOCS60682 | Suppliers | |
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 5306004871 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1336683358 | 01 |
| Street Address |
431 FRONT ST |
| City | REPUBLIC |
| State | MI |
| Zip Code | 49879-9100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336683358 | Jon Richard Tapio | Orthotist | 431 Front Street, Republic, MI 49879 | 2016-12-09 |
| 1255401410 | Town of Republic | Ambulance | 9610 State Hwy M95, Republic, MI 49879 | 2006-11-08 |
| 1760933121 | Tara Fleis | Counselor | 9885 State Highway M95, Republic, MI 49879-9131 | 2016-10-20 |
| 1124644133 | Resolutions Professional Counseling, Pllc | Clinic/Center | 9885 State Highway M95, Republic, MI 49879-9131 | 2020-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847979 | Vyjean Young | In Home Supportive Care | 919 N Township Road 181, Republic, OH 44867-9545 | 2020-09-27 |
| 1609494814 | Amy Sue Ridenour | Nurse Practitioner | 429 N Douglas Dr, Republic, MO 65738-9525 | 2020-07-14 |
| 1013539048 | Martin Dale Hodges | Physical Therapist | 830 S Illinois Ave, Republic, MO 65738-1177 | 2020-05-13 |
| 1336780386 | Sugar Tree Counseling, LLC | Counselor | 316 Us Highway 60 W, Republic, MO 65738-1433 | 2019-10-01 |
| 1215585922 | Lawana Kay Patterson | Technician | 1702 East New Madrid, Republic, MO 65738 | 2019-08-27 |
| 1023579919 | Steven Place | Marriage & Family Therapist | 1244 Us Highway 60 E, Republic, MO 65738-1248 | 2019-03-25 |
| 1609335165 | Cara Marie Shanks | Social Worker | 2030 E Charles St, Republic, MO 65738-2653 | 2019-03-14 |
| 1366909335 | Elloren Neadel Mitchell | Registered Nurse | 3275 E Jamestown St, Republic, MO 65738-9114 | 2019-02-26 |
| 1497219059 | Samantha J Steed | Chiropractor | 530 E Hadley St, Republic, MO 65738 | 2019-01-29 |
| 1295215846 | Stephanie Cronin | Speech-Language Pathologist | 201 E State Highway 174, Republic, MO 65738-1115 | 2018-08-14 |
| Find all providers in REPUBLIC | ||||
| 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 |
|---|---|---|---|---|
| 1376811489 | John M Fenton IIi | Prosthetic/Orthotic Supplier | 838 Rachel St, Republic, MO 65738-1721 | 2011-12-02 |
| 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 | ||||
Please comment or provide details below to improve the information on CENTRAL ORTHOTICS LLC.
| 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.