FOX RIVER PEDORTHICS, LLC


Address: 222b N Milwaukee St, Waterford, WI 53185-4312
Phone: 2622105254

FOX RIVER PEDORTHICS, LLC (NPI# 1356571509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356571509
Entity Type Organization
Organization Name FOX RIVER PEDORTHICS, LLC
Practice Address 222b N Milwaukee St
Waterford
WI 53185-4312
Practice Telephone 2622105254
Mailing Telephone 2622105254
Enumeration Date 2009-07-22
Last Update Date 2010-04-05
Authorized Official Name GREG G SCHMALFELDT (OWNER)
Authorized Official Telephone 2622105254
Authorized Official Credential CPED
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Office Location

Street Address 222B N MILWAUKEE ST
City WATERFORD
State WI
Zip Code 53185-4312

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649755695 Alyssa Jane Revolinski Respite Care 269435 S Elm Lane, Waterford, WI 53185 2018-09-26
1871973370 Julie Minikowski Community Health Worker 207 Milwaukee Avenue, A, Waterford, WI 53185 2015-06-01
1629235031 Fluegge Optical Technician/Technologist 920 E Main Street, Waterford, WI 53185 2008-05-22
1659598209 Julie Michals Occupational Therapist 1701 Sharp Road, Waterford, WI 53185 2007-04-18
1518072768 Jennifer Jayne Decker Family Medicine 818 Forrest Ln, Waterford, WI 53185 2006-08-20
1215966908 Amy Beth Flock Physical Therapy Assistant 2319 Fox Knoll Dr, Waterford, WI 53185 2006-07-03
1750762472 Tesalia R Renteria Family Medicine 818 Forest Ln, Waterford, WI 53185 2015-06-18
1649651092 Kathryn C Halyko Pediatrics 818 Forest Ln, Waterford, WI 53185 2015-06-11
1518109735 Daniel A Allison Family Medicine 818 Forest Ln, Waterford, WI 53185 2009-04-02
1811178478 Daniel Mark Gifford Speech-Language Pathologist 1701 Sharp Rd, Lakeview Specialty Hospital, Waterford, WI 53185 2007-11-23
Find all providers in zip 53185

Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437662624 Adaptive Prosthetics & Orthotics LLC Prosthetic/Orthotic Supplier 567 Vauxhall Street Ext Ste 109, Waterford, CT 06385-4331 2017-11-09
1548701014 Mi Med Inc Prosthetic/Orthotic Supplier 7688 Highland Rd, Waterford, MI 48327-1409 2017-03-16
1730139650 Becker Orthopedic Appliance Company Prosthetic/Orthotic Supplier 4800 Highland Rd, Suite 1, Waterford, MI 48328-1176 2006-05-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255932604 Cassie Mae Mathis Prosthetic/Orthotic Supplier W1643 Greiner Rd, Freedom, WI 54130-7943 2020-11-03
1649648973 Nordstrom Prosthetic/Orthotic Supplier 2424 N Mayfair Rd, Wauwatosa, WI 53226-1410 2015-09-03
1841698834 Srt Prosthetics & Orthotics LLC Prosthetic/Orthotic Supplier 5220 S 27th St., Milwaukee, WI 53221 2014-12-08
1285908624 Reichert Prosthetics & Orthotics, LLC Prosthetic/Orthotic Supplier 5027 Green Bay Rd Ste 124, Kenosha, WI 53144-1771 2012-03-02
1073807475 Ralph's Shoes Prosthetic/Orthotic Supplier 336 Water St, Eau Claire, WI 54703-6132 2011-06-02
1982904769 Better Balance LLC Prosthetic/Orthotic Supplier 2629 E Clairemont Ave, Eau Claire, WI 54701-6726 2010-10-27
1861718744 Ripon Medical Center Prosthetic/Orthotic Supplier 165 W Huron St, Berlin, WI 54923-1590 2010-04-16
1225352172 Hickok Rehab Services LLC Prosthetic/Orthotic Supplier 314 N Washington St, Thorp, WI 54771-9531 2010-03-22
1376866954 Hickok Rehab Services LLC Prosthetic/Orthotic Supplier 831 Dallas St, Chetek, WI 54728-5811 2010-03-10
1124356993 Natural Tresses LLC Prosthetic/Orthotic Supplier 2011 N Richmond St, Appleton, WI 54911-2771 2009-12-05
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Competitor

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City WATERFORD
Zip Code 53185

Improve Information

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Dataset Information

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.

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