ORTHORX, INC. (NPI# 1104807742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104807742 |
| Entity Type | Organization |
| Organization Name | ORTHORX, INC. |
| Other Organization Name | LOUISIANA BRACE SYSTEMS |
| Practice Address |
7925 Youree Dr Suite 230 Shreveport LA 71105 |
| Mailing Address |
2885 Loker Ave E Carlsbad CA 92010-6626 |
| Practice Telephone | 3187985583 |
| Practice Fax Number | 3187985585 |
| Mailing Telephone | 2145010304 |
| Mailing Fax Number | 2145010299 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2018-07-16 |
| Authorized Official Name | BRAD LEE (CEO/PRESIDENT) |
| Authorized Official Telephone | 7607955440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1316296 | 05 |
| Other Name | Type Code |
|---|---|
| Louisiana Brace Systems | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588005649 | Orthorx, Inc. | Prosthetic/Orthotic Supplier | 8935 North Meridian Street, Suite 111, Indianapolis, IN 46260 | 2013-07-17 |
| 1366746406 | Orthorx, Inc. | Durable Medical Equipment & Medical Supplies | 5204 Tennyson Pkwy, Suite 100, Plano, TX 75024-7141 | 2011-01-04 |
| 1003829342 | Orthorx, Inc. | Durable Medical Equipment & Medical Supplies | 400 Meadowmont Village Cir, Suite 425, Chapel Hill, NC 27517 | 2006-08-15 |
| 1639150600 | Orthorx, Inc. | Durable Medical Equipment & Medical Supplies | 11760 Bird Rd Ste 616, Miami, FL 33175-8100 | 2005-11-08 |
| 1881675775 | Orthorx, Inc. | Durable Medical Equipment & Medical Supplies | 5204 Tennyson Parkway, Suite 100, Plano, TX 75024-7116 | 2005-11-08 |
| 1619958741 | Orthorx, Inc. | Prosthetic/Orthotic Supplier | 6001 Sw 6th Avenue, Suite 250, Topeka, KS 66615 | 2005-11-07 |
| 1700177888 | Orthorx, Inc. | Prosthetic/Orthotic Supplier | 5204 Tennyson Pkwy, Suite 100, Plano, TX 75024-7141 | 2011-04-25 |
| 1629059647 | Orthorx, Inc. | Durable Medical Equipment & Medical Supplies | 755 S New Ballas Rd, Suite 220, Saint Louis, MO 63141 | 2005-11-08 |
| 1477534519 | Orthorx, Inc. | Prosthetic/Orthotic Supplier | 1455 E Bert Kouns Loop, 2nd Floor, Suite 204, Shreveport, LA 71105 | 2005-11-07 |
| 1467443648 | Orthorx, Inc. | Durable Medical Equipment & Medical Supplies | 2452 S Trenton Way, Unit C, Denver, CO 80231-7627 | 2005-11-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | ORTHORX, INC. | 2885 Loker Avenue East, Carlsbad, CA 92010 |
| New York State Corporations | ORTHORX, INC. | 80 State Street, Albany, New York 12207-2543 |
| Connecticut Business Registrations | ORTHORX, INC. | 3010 Gaylord Parkway, Suite 240, Frisco, TX 75034 |
| Indiana Business Entities | ORTHORX, INC. | 5204 Tennyson Pkwy, Ste 100, Plano, TX 75024 |
| Street Address |
7925 YOUREE DR SUITE 230 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184610271 | James L Zumbrunnen | Orthopaedic Surgery | 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5127 | 2005-09-23 |
| 1154934974 | Jennifer Fogleman | Specialist/Technologist | 7925 Youree Dr, Shreveport, LA 71105-5127 | 2020-08-31 |
| 1285145706 | Georgia Shively Monk | Physician Assistant | 7925 Youree Dr, Shreveport, LA 71105-5127 | 2017-10-24 |
| 1295038149 | Thea C Pennywell | Physician Assistant | 7925 Youree Dr, Suite 220, Shreveport, LA 71105-5127 | 2010-12-15 |
| 1801128616 | Elise Kayser Kowalewski | Physician Assistant | 7925 Youree Dr, Shreveport, LA 71105-5127 | 2010-02-03 |
| 1881844033 | Georgia M. Baker | Nurse Practitioner | 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5127 | 2008-09-24 |
| 1750558953 | Patrick Massey | Orthopaedic Surgery | 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5127 | 2008-05-15 |
| 1700077294 | Wk Mid South Orthopedics | Orthopaedic Surgery | 7925 Youree Dr, Suite 220, Shreveport, LA 71105-5127 | 2007-08-08 |
| 1164649927 | Diane Renee Mcculler | Registered Nurse | 7925 Youree Dr, Suite 280a, Shreveport, LA 71105-5538 | 2007-04-20 |
| 1114003076 | Scott R Gillum | Physician Assistant | 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5127 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| 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 |
|---|---|---|---|---|
| 1295242311 | Romunda Lockett | Prosthetic/Orthotic Supplier | 902 Pierre Ave, Shreveport, LA 71103-2828 | 2018-01-10 |
| 1053623157 | Butterfly Boutique, LLC | Prosthetic/Orthotic Supplier | 1950 E 70th St, Suite G, Shreveport, LA 71105-5345 | 2010-07-06 |
| 1841427788 | Magnolia Durable Medical Equipment Inc. | Prosthetic/Orthotic Supplier | 2005 Creswell Street, Shreveport, LA 71104-2201 | 2009-06-18 |
| 1093963878 | Snells Limbs & Braces of Shreveport LLC | Prosthetic/Orthotic Supplier | 8730 Youree Dr, Building A, Shreveport, LA 71115-2518 | 2008-09-04 |
| 1316195795 | Riffle Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 1938 E 70th St, Suite D, Shreveport, LA 71105-5340 | 2008-08-28 |
| 1982867032 | Arnold O & P Lab, Inc | Prosthetic/Orthotic Supplier | 619 Jordan Street, Shreveport, LA 71101 | 2008-07-09 |
| 1548447568 | Kitty A Roark. | Prosthetic/Orthotic Supplier | 855 Pierremont Rd Ste 126, Shreveport, LA 71106-2074 | 2008-01-22 |
| 1851442503 | Snells Limbs & Braces of Shreveport LLC | Prosthetic/Orthotic Supplier | 1833 Line Ave, Shreveport, LA 71101-4611 | 2007-01-16 |
| 1811961436 | Promyse-prosthetic Orthotic Group | Prosthetic/Orthotic Supplier | 3227 Portland Ave, Shreveport, LA 71103-4026 | 2006-02-13 |
| 1235139098 | Red River Orthotic Specialists, LLC | Prosthetic/Orthotic Supplier | 820 Jordan St, Suite 110, Shreveport, LA 71101-4518 | 2005-07-22 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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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.