SRT PROSTHETICS & ORTHOTICS LLC (NPI# 1255681870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255681870 |
| Entity Type | Organization |
| Organization Name | SRT PROSTHETICS & ORTHOTICS LLC |
| Practice Address |
618 N High School Rd Ste B Indianapolis IN 46214-3684 |
| Mailing Address |
408 E Washington St Butler IN 46721-1179 |
| Practice Telephone | 8666333961 |
| Mailing Telephone | 8666333961 |
| Mailing Fax Number | 4196333981 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2019-02-18 |
| Authorized Official Name | LESLIE SIEBENALER (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8666333961 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200360760I | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| 1295000909 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 1900 N Meridian St, Indianapolis, IN 46202-1304 | 2012-03-13 |
| 1497929434 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 406 N. Front St., Suite F, Mchenry, IL 60050 | 2008-04-22 |
| 1851409932 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 6475 Washington St., Suite 100, Gurnee, IL 60031 | 2006-08-28 |
| 1508804295 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 4109 W Jefferson Blvd, Ft Wayne, IN 46804-6894 | 2006-06-03 |
| 1699712695 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 217 E Southway Blvd Ste 100, Kokomo, IN 46902-3577 | 2006-05-31 |
| 1245222785 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 408 E Washington St, Butler, IN 46721-1179 | 2005-08-19 |
| 1902156532 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 8936 Southpointe Dr, Suite B-1, Indianapolis, IN 46227-7507 | 2012-09-11 |
| 1134417009 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 3301 W Bethel Ave, Muncie, IN 47304-5402 | 2011-07-13 |
| Street Address |
618 N HIGH SCHOOL RD STE B |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46214-3684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982882098 | Tri-state Surgical Services, LLC | Clinic/Center | 8206 Rockville Rd, Suite 132, Indianapolis, IN 46214 | 2008-01-31 |
| 1154508075 | Joe Edward Banks | Family Medicine | 900 N High School Rd, Indianapolis, IN 46214 | 2008-01-22 |
| 1003948365 | Catrissa R Hilson | Social Worker | 6804 Idlewood Trail, #602, Indianapolis, IN 46214 | 2007-03-12 |
| 1811025224 | Help At Home, Inc | Nursing Care | 650 North Girl School Road, Suite C35, Indianapolis, IN 46214 | 2007-02-28 |
| 1942358007 | Daniel Gomes | Dentist | 8235 Country Village Dr, Indianapolis, IN 46214 | 2007-01-08 |
| 1871658070 | Kurt Robert Gossweiler | Dentist | 7901 Crawfordsville Rd, Ste E, Indianapolis, IN 46214 | 2006-12-27 |
| 1649380452 | Rockville Road Dentistry | Dentist | 6355 Rockville Road, Indianapolis, IN 46214 | 2006-08-30 |
| 1326035718 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 3017 Valley Farms Rd, Indianapolis, IN 46214 | 2005-09-30 |
| 1104341403 | Jacob Ready | Pharmacist | 7235 W 10th St, Indianapolis, IN 46214 | 2017-08-08 |
| 1821397779 | Avon Physical Medicine Inc | Physical Medicine & Rehabilitation | 8258 Rockville Rd, Indianapolis, IN 46214 | 2011-03-17 |
| Find all providers in zip 46214 | ||||
| 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 |
|---|---|---|---|---|
| 1639781081 | Kenney Orthopedics Indianapolis, LLC | Prosthetic/Orthotic Supplier | 1801 N Senate Blvd Ste 420, Indianapolis, IN 46202-1228 | 2020-08-18 |
| 1710465166 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10603 N Meridian St Ste 120, Indianapolis, IN 46290-1055 | 2018-07-29 |
| 1568871200 | Phyllis Davis Cosmetologist | Prosthetic/Orthotic Supplier | 2336 E 53rd St, Indianapolis, IN 46220-3430 | 2014-08-07 |
| 1295145068 | Visionary Enterprises Inc | Prosthetic/Orthotic Supplier | 1440 E County Line Rd Ste 1600, Figleaf Boutique Crcc-s, Indianapolis, IN 46227-0963 | 2014-05-02 |
| 1801223714 | Advanced Orthopro, Inc. | Prosthetic/Orthotic Supplier | 8645 Founders Rd, Indianapolis, IN 46268-1336 | 2013-10-09 |
| 1588005649 | Orthorx, Inc. | Prosthetic/Orthotic Supplier | 8935 North Meridian Street, Suite 111, Indianapolis, IN 46260 | 2013-07-17 |
| 1922441518 | Carmel Orthodesign, LLC | Prosthetic/Orthotic Supplier | 9591 Valparaiso Ct, Indianapolis, IN 46268-1130 | 2013-04-12 |
| 1760742274 | Orthotic and Prosthetic Designs, LLC | Prosthetic/Orthotic Supplier | 5120 Commerce Cir Ste 104, Indianapolis, IN 46237-9717 | 2012-05-18 |
| 1295000909 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 1900 N Meridian St, Indianapolis, IN 46202-1304 | 2012-03-13 |
| 1598073033 | Visionary Enterprises Inc | Prosthetic/Orthotic Supplier | 1400 N Ritter Ave Ste 145, Figleaf Boutique Che, Indianapolis, IN 46219-3052 | 2010-09-17 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46214 |
Please comment or provide details below to improve the information on SRT PROSTHETICS & ORTHOTICS 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.