CUSTOM ORTHOTIC SOLUTIONS, INC. (NPI# 1144609009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144609009 |
| Entity Type | Organization |
| Organization Name | CUSTOM ORTHOTIC SOLUTIONS, INC. |
| Practice Address |
784 Nantucket Ave Eugene OR 97404 |
| Mailing Address |
784 Nantucket Ave Eugene OR 97404-2719 |
| Practice Telephone | 5417902092 |
| Practice Fax Number | 5416365352 |
| Mailing Telephone | 5417902092 |
| Mailing Fax Number | 5416365352 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | MELANIE RITA CARLONE (OWNER/PROVIDER) |
| Authorized Official Telephone | 5417902092 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
06505 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500736150 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CUSTOM ORTHOTIC SOLUTIONS, INC. | 784 Nantucket Ave, Eugene, OR 97404 |
| Street Address |
784 NANTUCKET AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588734792 | Melanie Rita Carlone | Physical Therapist | 784 Nantucket Ave, Eugene, OR 97404-2719 | 2006-11-08 |
| 1811401672 | Custom Orthotic Solutions Inc | Clinic/Center | 784 Nantucket Ave, Eugene, OR 97404-2719 | 2017-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1053838581 | Breann Nicole Martin | Psychologist | 366 Greenfield Ave, Eugene, OR 97404 | 2017-08-25 |
| 1376071464 | Mckenzie Living, Incorporated | Custodial Care Facility | 2621 Lone Oak Way, Eugene, OR 97404 | 2017-06-01 |
| 1205382520 | Gudatu Wotcha | Counselor | 550 River Rd., Eugene, OR 97404 | 2016-08-28 |
| 1750786828 | Orion Emelio | Registered Nurse | 1366 Andersen Ln, Eugene, OR 97404 | 2014-10-30 |
| 1922407634 | Cheyenne Huddleston | Massage Therapist | 48 Irving Rd., Eugene, OR 97404 | 2014-08-19 |
| 1437593258 | Aaron Morgan Varela | Counselor | 348 Ruby Ave., Eugene, OR 97404 | 2013-04-23 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1225301732 | Spencer Dean Moncur | Counselor | 550 Rivier Road, Eugene, OR 97404 | 2012-02-14 |
| Find all providers in zip 97404 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383982 | Fluid Movement LLC | Clinic/Center | 2565 Bowmont Dr, Eugene, OR 97405-1407 | 2020-10-11 |
| 1265829816 | Aligned Physical Therapy LLC | Clinic/Center | 110 E 16th Ave, Eugene, OR 97401-4033 | 2015-04-21 |
| 1063829448 | Pathways Physical Therapy | Clinic/Center | 2295 Coburg Rd Ste B2, Eugene, OR 97401-4959 | 2014-07-17 |
| 1508057654 | Comprehensive Physical Therapy, Inc. | Clinic/Center | 444 Charnelton St., Eugene, OR 97401-2626 | 2007-08-05 |
| 1134158298 | Physiotherapy Associates Inc | Clinic/Center | 1473 Willamette St, Eugene, OR 97401-4003 | 2006-07-01 |
| 1952959991 | Dr Daly Physical Therapy LLC | Clinic/Center | 87 Rockridge Dr, Eugene, OR 97405-3500 | 2019-09-03 |
| 1811401672 | Custom Orthotic Solutions Inc | Clinic/Center | 784 Nantucket Ave, Eugene, OR 97404-2719 | 2017-11-30 |
| 1588174619 | Turningpoint Lymphedema Clinic and Consulting | Clinic/Center | 74 E 18th Ave Ste 10, Eugene, OR 97401-4081 | 2017-10-03 |
| 1003343062 | Soma Potential Inc | Clinic/Center | 3601 Mahlon Ave, Eugene, OR 97401-8046 | 2017-05-20 |
| 1073067880 | Mobility Project Physical Therapy P C | Clinic/Center | 390 Lincoln St Ste 230, Eugene, OR 97401-6021 | 2016-08-10 |
| Find all providers in EUGENE | ||||
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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.