PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - MIDWEST, LLC (NPI# 1154721785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154721785 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - MIDWEST, LLC |
| Practice Address |
2025 E River Pkwy Minneapolis MN 55414-3604 |
| Mailing Address |
Po Box 865109 Orlando FL 32886-5109 |
| Practice Telephone | 6125966205 |
| Practice Fax Number | 6123395954 |
| Mailing Telephone | 8446023960 |
| Mailing Fax Number | 8132818461 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | MR. JEFFREY J BRUCE (DIRECTOR) |
| Authorized Official Telephone | 6125966203 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | Y |
| Parent Organization Name | PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - MIDWEST, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760835938 | Pediatric Orthotic and Prosthetic Services - Midwest, LLC | Prosthetic/Orthotic Supplier | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2016-07-22 |
| Street Address |
2025 E RIVER PKWY |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124126412 | Sarah Jean Werner | Orthopaedic Surgery | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2006-09-20 |
| 1437647682 | Shriners Hospitals for Children | Anesthesiology | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2018-04-24 |
| 1629477310 | Rebecca Rouse | Physical Therapist | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2014-08-19 |
| 1114369006 | Shriners Hospitals for Children | Nurse Practitioner | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2013-07-22 |
| 1730432709 | Allyce Katherine Fisk | Physician Assistant | 2025 E River Pkwy, Minneapolis, MN 55414 | 2012-10-16 |
| 1669799201 | Nancy M Easter | Social Worker | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2010-04-21 |
| 1669702882 | Kim Marie Nieuwenhuis | Orthotist | 2025 E River Pkwy, Shriners Hospitals for Children Twin Cities, Minneapolis, MN 55414 | 2010-01-11 |
| 1477883130 | Kari Ann Leifheit | Physical Therapist | 2025 E River Pkwy, Shriners Hospital, Minneapolis, MN 55414 | 2009-12-31 |
| 1497999676 | Charles Raydell Finnet | Physician Assistant | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2009-05-01 |
| 1811190788 | Carl Kaoru Sakamoto | Anesthesiology | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2007-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| 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 |
|---|---|---|---|---|
| 1487913554 | Otto Bock Healthcare Lp | Prosthetic/Orthotic Supplier | 14800 28th Ave N, Suite 110-d, Minneapolis, MN 55447-4873 | 2012-05-10 |
| 1063517241 | Metropolitan Orthotic Laboratory, Inc. | Prosthetic/Orthotic Supplier | 817 Portland Ave, Minneapolis, MN 55404-1145 | 2006-09-13 |
| 1295798932 | Fairview Health Services | Prosthetic/Orthotic Supplier | 606 24th Ave S Ste 510, Minneapolis, MN 55454-1438 | 2006-04-11 |
| 1871089045 | Nedia Group LLC | Prosthetic/Orthotic Supplier | 2756 Douglas Dr N, Minneapolis, MN 55422-2402 | 2018-07-10 |
| 1700208337 | Tillges Certified Orthotic Prosthetic, Inc. | Prosthetic/Orthotic Supplier | 817 Portland Ave, Minneapolis, MN 55404-1145 | 2014-01-16 |
| 1326486242 | Ottobock Medicalcare LLC | Prosthetic/Orthotic Supplier | 14800 28th Ave N, Suite 110-a, Minneapolis, MN 55447-4873 | 2013-06-13 |
| 1942435490 | Roberts Shoes, Inc | Prosthetic/Orthotic Supplier | 740 E Lake St, Minneapolis, MN 55407-1547 | 2009-05-27 |
| 1962671719 | Kari Prescott D P M P A | Prosthetic/Orthotic Supplier | 825 Nicollet Mall, Suite 441, Minneapolis, MN 55305-2611 | 2008-02-26 |
| 1902985906 | The Winkley Company | Prosthetic/Orthotic Supplier | 910 E 26th St, Suite 323, Minneapolis, MN 55404-4526 | 2006-11-02 |
| 1780789875 | Metropolitan Orthotic Laboratory, Inc | Prosthetic/Orthotic Supplier | 817 Portland Ave, Minneapolis, MN 55404-1145 | 2006-09-13 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55414 |
Please comment or provide details below to improve the information on PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - MIDWEST, 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.