MARY FREE BED ORTHOTICS AND PROSTHETICS (NPI# 1184607335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184607335 |
| Entity Type | Organization |
| Organization Name | MARY FREE BED ORTHOTICS AND PROSTHETICS |
| Other Organization Name | MARY FREE BED BRACE AND CORSET SHOP |
| Practice Address |
235 Wealthy St Se Ste 1100 Grand Rapids MI 49503-5247 |
| Practice Telephone | 6168408433 |
| Practice Fax Number | 6168409504 |
| Mailing Telephone | 6168408433 |
| Mailing Fax Number | 6168409504 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | MARK A PORTH (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 6168408433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | MI | Suppliers | |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS UPIN | 530D105100 | 01 |
| MI | 851722744 | 05 |
| Other Name | Type Code |
|---|---|
| MARY FREE BED BRACE AND CORSET SHOP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963817 | Mary Free Bed Orthotics and Prosthetics | Orthotic Fitter | 502 S Hamilton St, Saginaw, MI 48602-1511 | 2019-10-15 |
| 1356902449 | Mary Free Bed Orthotics and Prosthetics | Prosthetist | 7123 Stadium Dr, Kalamazoo, MI 49009-4943 | 2019-06-28 |
| 1154359537 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 1078 East Sternberg Rd, Muskegon, MI 49444-8796 | 2006-06-28 |
| 1619929643 | Mary Free Bed Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 360 Lafayette Ave Se, Suite 320, Grand Rapids, MI 49503-4677 | 2006-05-17 |
| 1881155794 | Mary Free Bed Orthotics and Prosthetics | Orthotic Fitter | 2500 Niles Rd Ste 9, Saint Joseph, MI 49085-3268 | 2019-03-26 |
| 1700359908 | Mary Free Bed Orthotics and Prosthetics | Orthotist | 200 N Homer St, Lansing, MI 48912-4741 | 2019-01-10 |
| 1326524745 | Mary Free Bed Orthotics and Prosthetics | Pedorthist | 1219 E Saginaw St, Lansing, MI 48906-5523 | 2018-07-18 |
| 1528096997 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 360 Lafayette Ave Se, Suite 330, Grand Rapids, MI 49503-4677 | 2006-06-28 |
| 1437187804 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 12662 Riley St, Suite 140, Holland, MI 49424-8023 | 2006-06-28 |
| 1245268622 | Mary Free Bed Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 360 Lafayette Ave Se, Suite 330, Grand Rapids, MI 49503-4677 | 2006-06-28 |
| Street Address |
235 WEALTHY ST SE STE 1100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245212893 | Peter E Sices | Internal Medicine | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2005-11-18 |
| 1437756632 | Rebecca Lynn Grier | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-10-01 |
| 1225643208 | Jessica Evans | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-09-15 |
| 1114547544 | Jenae Swiercz | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-04-27 |
| 1740847193 | Jennifer Carrier-masse | Nurse Practitioner | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2019-05-21 |
| 1598220402 | Kimberley Joy Paszkowski | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2019-02-05 |
| 1659843795 | Marissa Korodan | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-31 |
| 1750853081 | Lindsey Riker | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-27 |
| 1407328727 | Melanie Truer | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-27 |
| 1730651068 | Megan Stasiak | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
|---|---|---|---|---|
| 1417460643 | Teter Orthotics & Prosthetics Inc | Prosthetic/Orthotic Supplier | 515 Michigan St Ne Ste 301, Grand Rapids, MI 49503-5721 | 2017-11-09 |
| 1205059615 | Messer Orthopedics LLC | Prosthetic/Orthotic Supplier | 4955 E Beltline Ave Ne, Suite C, Grand Rapids, MI 49525-1097 | 2007-04-11 |
| 1225078298 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 4024 Park East Ct Se Ste B, Grand Rapids, MI 49546-8810 | 2006-06-07 |
| 1619929643 | Mary Free Bed Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 360 Lafayette Ave Se, Suite 320, Grand Rapids, MI 49503-4677 | 2006-05-17 |
| 1447230156 | Responsive Home Health Care Inc | Prosthetic/Orthotic Supplier | 1711 4 Mile Rd Ne, Grand Rapids, MI 49525-2440 | 2006-01-19 |
| 1154894046 | Laker Prosthetics | Prosthetic/Orthotic Supplier | 5181 Plainfield Ave Ne, Suite D, Grand Rapids, MI 49525 | 2019-01-03 |
| 1740532035 | Orthopaedic Associates of Grand Rapids PC | Prosthetic/Orthotic Supplier | 2680 Leonard St Ne, Grand Rapids, MI 49525 | 2012-10-10 |
| 1679839146 | Orthopaedic Associates of Grand Rapids, PC | Prosthetic/Orthotic Supplier | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2012-04-09 |
| 1003126400 | Fs Grand Rapids South, LLC | Prosthetic/Orthotic Supplier | 6750 Kalamazoo Ave Se, Suite E, Grand Rapids, MI 49508-7897 | 2010-10-19 |
| 1972737286 | Orthopaedic Associates of Grand Rapids PC | Prosthetic/Orthotic Supplier | 230 Michigan St Ne, Grand Rapids, MI 49503-2550 | 2009-05-14 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on MARY FREE BED ORTHOTICS AND PROSTHETICS.
| 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.