TETER ORTHOTICS & PROSTHETICS, INC (NPI# 1225078298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225078298 |
| Entity Type | Organization |
| Organization Name | TETER ORTHOTICS & PROSTHETICS, INC |
| Practice Address |
4024 Park East Ct Se Ste B Grand Rapids MI 49546-8810 |
| Practice Telephone | 6169494050 |
| Practice Fax Number | 6169494051 |
| Mailing Telephone | 6169494050 |
| Mailing Fax Number | 6169494051 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | CAROL S HUMFLEET (OFFICE MANAGER) |
| Authorized Official Telephone | 2319475701 |
| Is Organization Subpart | Y |
| Parent Organization Name | TETER ORTHOTICS & PROSTHETICS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | ========= | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4951722 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178026 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 106 S Greenville West Dr Ste 3, Greenville, MI 48838-3504 | 2020-09-11 |
| 1326542358 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 2500 Niles Rd Ste 11, Saint Joseph, MI 49085-3268 | 2018-03-23 |
| 1427305952 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1320 Millard Rd Ste A100, Three Rivers, MI 49093-8282 | 2012-08-15 |
| 1215035043 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1415 Kilborn Dr, Petoskey, MI 49770-9258 | 2006-09-20 |
| 1407962871 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 913 E Ludington Ave, Ludington, MI 49431-2437 | 2006-08-21 |
| 1750300729 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1516 Trimble Ave, Kalamazoo, MI 49048-1635 | 2006-07-19 |
| 1841219813 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 2645 W Houghton Lake Dr Ste 1, Houghton Lake, MI 48629-8262 | 2006-07-19 |
| 1598783557 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 604 Galen St, Grayling, MI 49738-8788 | 2006-07-18 |
| 1588604680 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 2147 Proffesional Drive Ste C, Gaylord, MI 49735-1558 | 2006-06-07 |
| 1801891973 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1225 W Front St, Suite A, Traverse City, MI 49684-2317 | 2005-06-16 |
| Street Address |
4024 PARK EAST CT SE STE B |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
| 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 |
| 1629010731 | Gregory Fryling | Prosthetic/Orthotic Supplier | 230 Michigan St Ne, Ste 200, Grand Rapids, MI 49503-2550 | 2006-06-12 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on TETER ORTHOTICS & PROSTHETICS, INC.
| 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.