ORTHOTICS & PROSTHETICS LABORATORIES, INC. (NPI# 1275767147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275767147 |
| Entity Type | Organization |
| Organization Name | ORTHOTICS & PROSTHETICS LABORATORIES, INC. |
| Other Organization Name | O & P LABS |
| Practice Address |
300 Birnie Ave Suite 303 Springfield MA 01107-1107 |
| Practice Telephone | 4137372404 |
| Practice Fax Number | 4137331389 |
| Mailing Telephone | 4137372404 |
| Mailing Fax Number | 4137331389 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | MR. JAMES HAAS (PRESIDENT) |
| Authorized Official Telephone | 4137372404 |
| Authorized Official Credential | C.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CO004133 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HARVARD PILGRIM | 701312 | 01 | |
| HNE | 15121 | 01 | |
| MA | BCBS | 360154 | 01 |
| FALLON | 43871 | 01 | |
| VA | 65955037 | 01 | |
| TRICARE | S009509 | 01 | |
| CIGNA | 475460 | 01 | |
| AETNA | 553174 | 01 | |
| CONNECTICARE | 734427 | 01 | |
| VT | 1009994 | 05 | |
| MA | 1540408 | 05 | |
| CT | 3048436 | 05 | |
| MVP | 833821 | 01 | |
| MA | BMC | 000000006888 | 01 |
| NHP | 0008938 | 01 | |
| TUFTS | 803119 | 01 |
| Other Name | Type Code |
|---|---|
| O & P Labs | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134636426 | Orthotics & Prosthetics Laboratories, Inc. | Prosthetic/Orthotic Supplier | 3500 Main St Ste 1, Springfield, MA 01107-1150 | 2018-01-08 |
| 1306223417 | Orthotics & Prosthetics Laboratories, Inc. | Prosthetic/Orthotic Supplier | 700 North St, Unit 2, Pittsfield, MA 01201-4153 | 2015-04-28 |
| 1750768867 | Orthotics & Prosthetics Laboratories, Inc. | Prosthetic/Orthotic Supplier | 241 King St, Suite123, Northampton, MA 01060-2335 | 2015-04-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ORTHOTICS & PROSTHETICS LABORATORIES, INC. | 300 Birnie Avenue, Suite 303, Springfield, MA 01107 |
| Street Address |
300 BIRNIE AVE SUITE 303 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337036 | Arif Matin | Pharmacist | 300 Birnie Ave, Ste 101, Springfield, MA 01107-1121 | 2005-06-25 |
| 1760092290 | Kristina Wendl | Physical Therapist | 300 Birnie Ave, Springfield, MA 01107-1107 | 2020-08-10 |
| 1427584945 | John Dayton | Occupational Therapist | 300 Birnie Ave, Springfield, MA 01107-1107 | 2017-05-03 |
| 1770023525 | Stephanie Ross | Occupational Therapist | 300 Birnie Ave, Springfield, MA 01107-1107 | 2017-02-27 |
| 1134574833 | Stephanie Anne Brusseau | Physical Therapist | 300 Birnie Ave, Suite 303, Springfield, MA 01107-1107 | 2016-04-30 |
| 1346602141 | Amped Rehab, LLC | Clinic/Center | 300 Birnie Ave, Suite 303, Springfield, MA 01107-1107 | 2016-03-22 |
| 1174983449 | Geoffrey Zielenski | Physical Therapist | 300 Birnie Ave, Suite 201, Springfield, MA 01107-1107 | 2016-03-01 |
| 1427422682 | Elizabeth Sklar | Physician Assistant | 300 Birnie Ave, Ste 201, Springfield, MA 01107-1107 | 2015-11-25 |
| 1598165540 | Brian K. Puchalski | Physician Assistant | 300 Birnie Ave, Suite 201, Springfield, MA 01107-1107 | 2014-08-27 |
| 1811301906 | Haley B. Pierson | Physician Assistant | 300 Birnie Ave, Suite 201, Springfield, MA 01107-1107 | 2014-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| 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 |
|---|---|---|---|---|
| 1245865245 | Ortheco LLC | Prosthetic/Orthotic Supplier | 3050 Montvale Dr Ste E, Springfield, IL 62704-4290 | 2020-03-10 |
| 1205399029 | Tonee Jarrett | Prosthetic/Orthotic Supplier | 503 N Dirksen Pkwy, Springfield, IL 62702-6110 | 2019-04-09 |
| 1134636426 | Orthotics & Prosthetics Laboratories, Inc. | Prosthetic/Orthotic Supplier | 3500 Main St Ste 1, Springfield, MA 01107-1150 | 2018-01-08 |
| 1942638176 | Lester E Cox Medical Centers | Prosthetic/Orthotic Supplier | 2224 W Sunset St, Springfield, MO 65807-5980 | 2013-10-25 |
| 1245581131 | Lester E Cox Medical Centers | Prosthetic/Orthotic Supplier | 3525 S National Ave Ste 205b, Springfield, MO 65807-7315 | 2012-10-02 |
| 1720368509 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 2025 W Iles Ave Ste B, Springfield, IL 62704 | 2011-08-24 |
| 1154560647 | Z-coil Pain Relief Footwear | Prosthetic/Orthotic Supplier | 2674 S Glenstone Ave, Springfield, MO 65804-3718 | 2009-02-06 |
| 1235319260 | Bare Necessities of Springfield | Prosthetic/Orthotic Supplier | 1704 Boston Road, Springfield, MA 01129 | 2007-11-07 |
| 1811028087 | Kurt B. Fulk | Prosthetic/Orthotic Supplier | 2100 S Brentwood Blvd Ste A, Springfield, MO 65804-2534 | 2007-03-08 |
| 1205847787 | Cook's Orthopedics, Inc. | Prosthetic/Orthotic Supplier | 2012 Memorial Blvd, Springfield, TN 37172-3914 | 2006-08-10 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.