INNOVATIVE ORTHOTICS & PROSTHETICS, LLC (NPI# 1306043625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306043625 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE ORTHOTICS & PROSTHETICS, LLC |
| Practice Address |
537 Us Highway 1 Suite 6 North Palm Beach FL 33408-4903 |
| Practice Telephone | 5612962000 |
| Practice Fax Number | 5612969912 |
| Mailing Telephone | 5612962000 |
| Mailing Fax Number | 5612969912 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2010-08-02 |
| Authorized Official Name | MR. ANDREW D DOMB (OWNER) |
| Authorized Official Telephone | 5612962000 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | POR188 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | POR188 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 032644500 | 05 | |
| FL | BCBSFL | M2829 | 01 |
| Street Address |
537 US HIGHWAY 1 SUITE 6 |
| City | NORTH PALM BEACH |
| State | FL |
| Zip Code | 33408-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134220734 | Andrew Douglas Domb | Orthotist | 537 Us Highway 1, Suite 6, North Palm Beach, FL 33408-4903 | 2006-09-26 |
| 1932397577 | Roy Hart | Dentist | 537 Us Highway 1, Suite 1, North Palm Beach, FL 33408-4903 | 2007-10-09 |
| 1477750230 | Barbara Farnan | Counselor | 537 Us Highway 1, Ste 2, North Palm Beach, FL 33408-4903 | 2007-06-27 |
| 1174676373 | Nancy B Deleon | Social Worker | 537 Us Highway 1, Suite 2, North Palm Beach, FL 33408-4903 | 2007-01-19 |
| 1457422107 | Patricia A Allen | Massage Therapist | 537 Us Highway 1, Suite 2, North Palm Beach, FL 33408-4903 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457585 | Naomi Bollaci | Pharmacist | 314 Northlake Blvd, North Palm Beach, FL 33408 | 2020-08-12 |
| 1740750306 | Dihana C Ruiz | Nurse Practitioner | 631 Us Highway One Suite 309, North Palm Beach, FL 33408 | 2018-11-27 |
| 1487121117 | Chancellor Medical | Durable Medical Equipment & Medical Supplies | 1224 N. Federal Highway, Suite D, North Palm Beach, FL 33408 | 2018-10-31 |
| 1538679535 | Jennifer Guldager | Physician Assistant | 11951 Us Highway 1 Ste 108, North Palm Beach, FL 33408 | 2017-10-04 |
| 1134646581 | Live Now Physical Therapy Inc. | Clinic/Center | 873 Fathom Rd W, North Palm Beach, FL 33408 | 2017-08-26 |
| 1912424573 | Magdalena Orosz | Clinical Medical Laboratory | 20 Celestial Way #205, Juno Beach, FL 33408 | 2017-08-24 |
| 1205377173 | Premier Compounding Pharmacy, Inc. | Pharmacy | 2000 Pga Blvd., Suite 5507, Palm Beach Gardens, FL 33408 | 2017-03-13 |
| 1841742160 | Anne Hart Rajawat | Speech-Language Pathologist | 1201 Us 1 Ste 210, North Palm Beach, FL 33408 | 2016-11-03 |
| 1801342605 | Lindsey Kelly | Occupational Therapist | 1201 U.S. Highway One, Suite 215, North Palm Beach, FL 33408 | 2016-08-31 |
| 1346694205 | Stephanie Lynch Therapy Inc. | Counselor | 513 Us Hwy #1, 213, North Palm Beach, FL 33408 | 2016-04-18 |
| Find all providers in zip 33408 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| 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 |
|---|---|---|---|---|
| 1831796275 | Mireille Alexis | Prosthetist | 4376 Fl-7, Coral Springs, FL 33073 | 2020-10-08 |
| 1588279434 | Kourtney James | Prosthetist | 715 Lori Dr Apt 304, Palm Springs, FL 33461-7104 | 2020-09-08 |
| 1750910790 | Gabriela Jamur | Prosthetist | 11308 Bonita Beach Rd Se Ste 105-a, Bonita Springs, FL 34135-5912 | 2020-04-02 |
| 1013543701 | Kateau Cerisme | Prosthetist | 320 N Magnolia Ave, Orlando, FL 32801-1624 | 2020-03-13 |
| 1780217174 | Amber Baker | Prosthetist | 1340 Naples Cir Apt 309, Rockledge, FL 32955-2577 | 2020-02-13 |
| 1992336192 | Antakeisha Lavonte Hepburn | Prosthetist | 2326 Nw 51st St, Miami, FL 33142-3677 | 2020-01-28 |
| 1164067211 | Rayna K Bradley | Prosthetist | 148 Lake Ave, Maitland, FL 32751-6424 | 2019-11-13 |
| 1376001982 | Kerryann Williams | Prosthetist | 6515 Nw 1st St, Margate, FL 33063-5101 | 2019-03-04 |
| 1528526126 | Latoya Patrick | Prosthetist | 11361 Sheffield Rd, Spring Hill, FL 34608-2260 | 2019-03-04 |
| 1275091878 | Debbie Denizard | Prosthetist | 9560 Lem Turner Rd, Jacksonville, FL 32208-7501 | 2019-03-04 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PALM BEACH |
| Zip Code | 33408 |
Please comment or provide details below to improve the information on INNOVATIVE ORTHOTICS & PROSTHETICS, 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.