ORTHOTIC & PROSTHETIC SPECIALISTS, INC. (NPI# 1255975421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255975421 |
| Entity Type | Organization |
| Organization Name | ORTHOTIC & PROSTHETIC SPECIALISTS, INC. |
| Practice Address |
10241 Coursey Blvd Ste C Baton Rouge LA 70816-0409 |
| Mailing Address |
101 Highland Park Plz Covington LA 70433-7128 |
| Practice Telephone | 2253331893 |
| Practice Fax Number | 9858678803 |
| Mailing Telephone | 9858986319 |
| Mailing Fax Number | 9858678803 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | MICHAEL STEPHEN RELLE (PRESIDENT) |
| Authorized Official Telephone | 9858986319 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | Y |
| Parent Organization Name | ORTHOTIC & PROSTHETIC SPECIALISTS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1980391 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396980058 | Orthotic & Prosthetic Specialists, Inc. | Prosthetic/Orthotic Supplier | 802 W Oak St Ste D, Amite, LA 70422-2795 | 2008-12-10 |
| 1437339710 | Orthotic & Prosthetic Specialists, Inc. | Prosthetic/Orthotic Supplier | 101 Highland Park Plz, Covington, LA 70433-7128 | 2007-11-05 |
| Street Address |
10241 COURSEY BLVD STE C |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-0409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| 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 |
|---|---|---|---|---|
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1831710060 | The Monte' Garcia Salon | Prosthetic/Orthotic Supplier | 10732 S Mall Dr Apt 423, Baton Rouge, LA 70809-4814 | 2020-04-28 |
| 1033746961 | Orthotic & Prosthetic Solutions LLC | Prosthetic/Orthotic Supplier | 11616 Southfork Ave Ste 202, Baton Rouge, LA 70816-5241 | 2020-03-23 |
| 1356908180 | Louisiana Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4451 Bluebonnet Blvd Ste C, Baton Rouge, LA 70809-9647 | 2019-05-28 |
| 1578800157 | Duramed, Inc | Prosthetic/Orthotic Supplier | 11135 Industriplex Blvd, Suite 800, Baton Rouge, LA 70809-4114 | 2013-01-15 |
| 1225309263 | Still Me Inc. | Prosthetic/Orthotic Supplier | 930 Oneal Ln, Suite B5, Baton Rouge, LA 70816-1807 | 2012-01-23 |
| 1356626287 | Simply Savonte, LLC | Prosthetic/Orthotic Supplier | 6103 Florida Blvd, Suite E, Baton Rouge, LA 70806-0600 | 2011-10-11 |
| 1306133186 | Ultimate Athletic Equipment | Prosthetic/Orthotic Supplier | 286 Kenwood Ave, Baton Rouge, LA 70806-4519 | 2011-06-30 |
| 1174615314 | Baton Rouge Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 5745 Essen Ln, Suite 102, Baton Rouge, LA 70810-1115 | 2006-09-28 |
| 1811930019 | Ortho - Direct Inc. | Prosthetic/Orthotic Supplier | 5039 Parkoaks Dr, Baton Rouge, LA 70816-6717 | 2006-06-14 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70816 |
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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.