ADVANCE ORTHOTICS & PROSTHETICS


Address: 510 22nd Ave E, Ste 801, Alexandria, MN 56308-4653
Phone: 3207622210

ADVANCE ORTHOTICS & PROSTHETICS (NPI# 1083899041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083899041
Entity Type Organization
Organization Name ADVANCE ORTHOTICS & PROSTHETICS
Practice Address 510 22nd Ave E
Ste 801
Alexandria
MN 56308-4653
Practice Telephone 3207622210
Practice Fax Number 3207622753
Mailing Telephone 3207622210
Mailing Fax Number 3207622753
Enumeration Date 2008-01-08
Last Update Date 2013-04-26
Authorized Official Name MR. DAVID MICHAEL ELLIS (CHIEF MANAGER/PRACTITIONER)
Authorized Official Telephone 3207622210
Authorized Official Credential CPO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Office Location

Street Address 510 22ND AVE E
STE 801
City ALEXANDRIA
State MN
Zip Code 56308-4653

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053376459 Barbara L. Dolezal Chiropractor 510 22nd Ave E, Suite 701, Alexandria, MN 56308-4653 2006-04-19
1407212210 Zachary Maas Chiropractor 510 22nd Ave E, Ste. 701, Alexandria, MN 56308-4653 2016-01-08
1376966721 Alexandria Chiropractic LLC Chiropractor 510 22nd Ave E, Suite 701, Alexandria, MN 56308-4653 2014-01-21
1598041956 Benjamin Sear Whitten Chiropractor 510 22nd Ave E, Suite 701, Alexandria, MN 56308-4653 2011-10-31
1720274129 David Michael Ellis Orthotist 510 22nd Ave E, Suite# 801 Advance Orthotics & Prosthetics, Alexandria, MN 56308-4653 2007-09-19
1427102722 Kimberly Ann Rauk Dentist 510 22nd Ave E, Suite 601, Alexandria, MN 56308-4653 2007-01-23
1902861339 Central Lakes Chiropractic Clinic PC Chiropractor 510 22nd Ave E, Suite 701, Alexandria, MN 56308-4653 2006-04-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871104836 Center for Pain Management Ambulatory Surgery, Ltd Pain Medicine 804 23rd Street South, Sartell, MN 56308 2020-08-13
1548815590 Ritajo Ellenberger Licensed Practical Nurse 220 Oak Street North, Alexandria, MN 56308 2019-08-06
1346808714 Vance Thompson Vision Surgery Center Alexandria, Prof LLC Clinic/Center 2600 Jefferson St, Alexandria, MN 56308 2019-05-31
1811452048 Little Falls Eye Care Center Pa Optometrist 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 2019-02-01
1184167199 Jennifer Lynn Craig Technician 2307 East Golf Course Rd, Alexandria, MN 56308 2016-11-22
1548712219 Shelby Elisha Johnsrud Chiropractor 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 2016-10-28
1811347867 Dustin Matthew Ditch Dentist 510 22nd Ave E Ste 702, Alexandria, MN 56308 2016-06-20
1639538051 West Central Chiropractic & Wellness, LLC Chiropractor 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 2016-02-12
1659736221 Amanda Jean Dahlseng Registered Nurse 809 Elm Street, Suite 1200, Alexandria, MN 56308 2015-12-23
1518358886 Benjamin G Wenzel Marriage & Family Therapist 512 30th Ave S, Ste 100, Alexandria, MN 56308 2015-02-09
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265804462 Dynamic Orthotic Services, Inc. Prosthetic/Orthotic Supplier 201 E Fourth St, Suite 3g, Alexandria, LA 71301-8421 2015-10-27
1770621922 Abana Orthotics & Prosthetics Inc Prosthetic/Orthotic Supplier 1419 Peterman Dr, Alexandria, LA 71301-3433 2007-02-01
1366593022 Snells Limbs & Braces of Shreveport LLC Prosthetic/Orthotic Supplier 1404 Jackson St, Alexandria, LA 71301-6931 2007-01-16
1659374916 Marvelles Apparel Inc Prosthetic/Orthotic Supplier 1804 S. Broadway, Ste #160, Alexandria, MN 56308 2005-05-31
1467832741 Dr. Farhan M. Qureshi Dds PC Prosthetic/Orthotic Supplier 5206 Dawes Ave, Alexandria, VA 22311-1404 2015-06-02
1528243508 Gladys Rea Smith Prosthetic/Orthotic Supplier 50 S Pickett St, Suite 210, Alexandria, VA 22304-7207 2008-01-08
1770639767 Gladys Rea Smith Prosthetic/Orthotic Supplier 50 S Pickett St, Suite 210, Alexandria, VA 22304-7206 2007-01-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619578648 Kanika Lanese Baker Prosthetic/Orthotic Supplier 7240 Brooklyn Blvd Ste 150, Brooklyn Park, MN 55429-1274 2020-11-05
1932758067 David Allen Young Prosthetic/Orthotic Supplier 1163 Wayzata Blvd E, Wayzata, MN 55391-1935 2019-09-11
1073080230 Rebound Orthotics & Prosthetics, Inc. Prosthetic/Orthotic Supplier 2805 Campus Dr Ste 101, Plymouth, MN 55441-2676 2018-10-25
1760998165 Abilitech Medical, Inc. Prosthetic/Orthotic Supplier 628 Pine St, Saint Paul, MN 55130-4421 2017-12-20
1003351990 Arise Orthotics & Prosthetics, Inc. Prosthetic/Orthotic Supplier 8338 Highway 65 Ne, Suite E, Spring Lake Park, MN 55432-1364 2016-12-30
1073065298 Language of Hair Prosthetic/Orthotic Supplier 1615 London Rd, Duluth, MN 55812-1620 2016-11-04
1275900664 Nordstrom Inc & Subsidiaries Prosthetic/Orthotic Supplier 12401 Wayzata Blvd, Minnetonka, MN 55305-1974 2015-09-01
1326483264 Prosthetic Specialties LLC Prosthetic/Orthotic Supplier 13143 Lake Place Rd, Zimmerman, MN 55398-9567 2013-05-06
1427300706 Rebound Orthotics & Prosthetics, Inc. Prosthetic/Orthotic Supplier 1073 Highway 15 S, Plaza 15, Hutchinson, MN 55350-3153 2012-10-10
1033461322 Rebound Orthotics & Prosthetics, Inc. Prosthetic/Orthotic Supplier 300 Catlin St Ste 104, Buffalo, MN 55313-2035 2012-10-10
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Competitor

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City ALEXANDRIA
Zip Code 56308

Improve Information

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Dataset Information

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.

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