SRT PROSTHETICS & ORTHOTICS LLC (NPI# 1295000909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295000909 |
| Entity Type | Organization |
| Organization Name | SRT PROSTHETICS & ORTHOTICS LLC |
| Practice Address |
1900 N Meridian St Indianapolis IN 46202-1304 |
| Mailing Address |
408 E Washington St Butler IN 46721-1179 |
| Practice Telephone | 8666333961 |
| Practice Fax Number | 4196333981 |
| Mailing Telephone | 8666333961 |
| Mailing Fax Number | 4196333981 |
| Enumeration Date | 2012-03-13 |
| 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 | IN | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| 1255681870 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 618 N High School Rd Ste B, Indianapolis, IN 46214-3684 | 2012-09-11 |
| 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 |
1900 N MERIDIAN ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952877631 | Emily Anderson | Prosthetic/Orthotic Supplier | 1900 N Meridian St, Indianapolis, IN 46202-1304 | 2018-10-19 |
| 1215403217 | Aaron Matthew Roberts | Prosthetic/Orthotic Supplier | 1900 N Meridian St, Indianapolis, IN 46202-1304 | 2018-10-17 |
| 1427580364 | Nicolas Mowery | Prosthetic/Orthotic Supplier | 1900 N Meridian St, Indianapolis, IN 46202-1304 | 2017-03-30 |
| 1861924706 | Carolyn Mccann | Prosthetic/Orthotic Supplier | 1900 N Meridian St, Indianapolis, IN 46202-1304 | 2017-03-30 |
| 1760914618 | Samuel Santa Rita | Prosthetic/Orthotic Supplier | 1900 N Meridian St, Indianapolis, IN 46202-1304 | 2017-03-30 |
| 1437681442 | John Arnold | Prosthetic/Orthotic Supplier | 1900 N Meridian St, Indianapolis, IN 46202-1304 | 2017-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| 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 |
| 1255681870 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 618 N High School Rd Ste B, Indianapolis, IN 46214-3684 | 2012-09-11 |
| 1760742274 | Orthotic and Prosthetic Designs, LLC | Prosthetic/Orthotic Supplier | 5120 Commerce Cir Ste 104, Indianapolis, IN 46237-9717 | 2012-05-18 |
| 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 | 46202 |
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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.