HORTONS ORTHOTIC LAB, INC. (NPI# 1134669138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134669138 |
| Entity Type | Organization |
| Organization Name | HORTONS ORTHOTIC LAB, INC. |
| Other Organization Name | HORTONS ORTHOTICS & PROSTHETICS |
| Practice Address |
635 Dave Ward Suite 103 Conway AR 72034 |
| Mailing Address |
5220 W 12th St Little Rock AR 72204-1857 |
| Practice Telephone | 5016632908 |
| Practice Fax Number | 5016633994 |
| Mailing Telephone | 5016632908 |
| Mailing Fax Number | 5016633994 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |
| Authorized Official Name | GARY HORTON (OWNER) |
| Authorized Official Telephone | 5016632908 |
| Authorized Official Credential | LO, CO |
| Is Organization Subpart | Y |
| Parent Organization Name | HORTONS ORTHOTIC LAB, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | OPP00087 | AR | Suppliers |
| Other Name | Type Code |
|---|---|
| Hortons Orthotics & Prosthetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629063607 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 710 Marion St, Suite 304, Searcy, AR 72143-4878 | 2005-09-15 |
| 1811982226 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 2909 S 66th St, Fort Smith, AR 72903-5003 | 2005-09-13 |
| 1346653680 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 4020 Richards Rd, Suite D, North Little Rock, AR 72117-2650 | 2014-06-04 |
| Street Address |
635 DAVE WARD SUITE 103 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1033657382 | Heath Bryan Coleman, Dds of Arkansas II, Pllc | Dentist | 635 Dave Ward Drive, Ste 101, Conway, AR 72034 | 2017-02-07 |
| Find all providers in zip 72034 | ||||
| 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 |
|---|---|---|---|---|
| 1245575570 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 2915 Dave Ward Dr Ste 11, Conway, AR 72034-9375 | 2012-11-27 |
| 1619192531 | New Hope Prosthetics & Orthodics Inc | Prosthetic/Orthotic Supplier | 2405 Dave Ward Dr, Conway, AR 72034 | 2007-04-16 |
| 1528031101 | Warren Douglas Gibson | Prosthetic/Orthotic Supplier | 1629 Highway 544, Conway, SC 29526-8452 | 2006-02-13 |
| 1508057779 | Warren D. Gibson | Prosthetic/Orthotic Supplier | 1629 Highway 544, Conway, SC 29526-8452 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028371 | West Orthotics, LLC | Prosthetic/Orthotic Supplier | 2711 S Caraway Rd Ste B, Jonesboro, AR 72401-7334 | 2020-09-22 |
| 1114547528 | Chelsea N. Briggs | Prosthetic/Orthotic Supplier | 4601 S Main St Apt 514, Pine Bluff, AR 71601-7482 | 2020-04-26 |
| 1184244600 | Chelsea Briggs | Prosthetic/Orthotic Supplier | 601 S Main St Apt 514, Pine Bluff, AR 71601 | 2020-04-24 |
| 1457832354 | Celebrity Styles Inc. | Prosthetic/Orthotic Supplier | 7 Shackleford Plz, Little Rock, AR 72211-1826 | 2018-08-28 |
| 1184104309 | Prosthetic One | Prosthetic/Orthotic Supplier | 11908 Kanis Rd Ste G7, Little Rock, AR 72211-3773 | 2018-08-16 |
| 1376036962 | David A. Yates & Associates, Inc. | Prosthetic/Orthotic Supplier | 2103 S 54th St Ste 1, Rogers, AR 72758-8126 | 2018-06-08 |
| 1831629070 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 612 Office Park Dr, Bryant, AR 72022-7519 | 2017-06-19 |
| 1952774259 | Maranda Watkins | Prosthetic/Orthotic Supplier | 601 S 21st St, Fort Smith, AR 72901-3914 | 2015-11-09 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1760721971 | David A. Yates & Associates, Inc. | Prosthetic/Orthotic Supplier | 820 Professional Acres Dr, Jonesboro, AR 72401-4340 | 2013-02-07 |
| 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.