PROFESSIONAL ORTHOTIC & PROSTHETIC SERVICES, LLC (NPI# 1417509910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417509910 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL ORTHOTIC & PROSTHETIC SERVICES, LLC |
| Practice Address |
410 Grant Ave Clay Center KS 67432-2942 |
| Mailing Address |
919 Westport Pl Manhattan KS 66502-2913 |
| Practice Telephone | 7853757458 |
| Practice Fax Number | 7853202321 |
| Mailing Telephone | 7853757458 |
| Mailing Fax Number | 7853202321 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | BRANDON LEE SMITH (OWNER) |
| Authorized Official Telephone | 7853757458 |
| Authorized Official Credential | CP, BOCO, MSOP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PROSTHETIST CERTIFICATION ABC | CP004340 | 01 |
| MD | BOC ORTHOTIST CERTIFICATION | C50162 | 01 |
| Other Name | Type Code |
|---|---|
| Heartland O&P | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 919 Westport Pl, Manhattan, KS 665022913 | 7853757458 | 7853202321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952961799 | Professional Orthotic & Prosthetic Services, LLC | Prosthetic/Orthotic Supplier | 919 Westport Pl, Manhattan, KS 66502-2913 | 2019-06-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROFESSIONAL ORTHOTIC & PROSTHETIC SERVICES, LLC | 260 Johnson Rd Unit A, Manhattan, KS 66502-1516 |
| Street Address |
410 GRANT AVE |
| City | CLAY CENTER |
| State | KS |
| Zip Code | 67432-2942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134675861 | Jericho Fief | Home Health | 1611 9th St., Clay Center, KS 67432 | 2016-09-01 |
| 1831238781 | Joseph Garrett Ferguson | Dentist | 308 Court Street, Clay Center, KS 67432 | 2007-02-06 |
| 1124192901 | County of Clay | Ambulance | 603 4th St, Clay Center, KS 67432 | 2006-11-20 |
| 1619284288 | Bradley A Pyle | Chiropractor | 720 6th St, Clay Center, KS 67432 | 2010-09-02 |
| 1164739744 | Pyle Chiropractic, P.a. | Chiropractor | 720 6th St, Clay Center, KS 67432 | 2010-09-02 |
| 1073601712 | Medicalodges, Inc. | Skilled Nursing Facility | 715 Liberty St, Clay Center, KS 67432-1528 | 2006-10-10 |
| 1447368105 | Associates In Primary Care, Inc. | Family Medicine | 711 Liberty St, Clay Center, KS 67432-1528 | 2006-08-25 |
| 1073568523 | Clay County Medical Center | Hospice Care, Community Based | 709 Liberty St, Clay Center, KS 67432-1528 | 2006-05-23 |
| 1477928695 | Rosemary Neaderhiser | Social Worker | 715 Liberty St, Clay Center, KS 67432-1528 | 2015-12-14 |
| 1295975746 | Kay M Blattner | Speech-Language Pathologist | 715 Liberty St, Clay Center, KS 67432-1528 | 2009-02-24 |
| Find all providers in zip 67432 | ||||
| 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 |
|---|---|---|---|---|
| 1972063436 | Pwr Physio LLC | Prosthetic/Orthotic Supplier | 12006 W 87th Street Pkwy, Lenexa, KS 66215-2808 | 2019-03-21 |
| 1316482383 | Natural Fit LLC | Prosthetic/Orthotic Supplier | 408 Circle Dr, Suite C, Silver Lake, KS 66539-9520 | 2016-12-30 |
| 1205209335 | Wealcan LLC | Prosthetic/Orthotic Supplier | 1612 S 4th St, Leavenworth, KS 66048-3442 | 2015-11-11 |
| 1427427913 | Life In Motion Orthotic & Prosthetic Center, Inc. | Prosthetic/Orthotic Supplier | 2601 Central Ave Ste 22, Dodge City, KS 67801-2606 | 2015-09-15 |
| 1043699572 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 380 Limit St, Leavenworth, KS 66048-4525 | 2015-05-29 |
| 1447649074 | Horizon Orthotic & Prosthetic Experience Inc | Prosthetic/Orthotic Supplier | 1251 Sw Arrowhead Rd, Suite D, Topeka, KS 66604-4061 | 2015-01-20 |
| 1689010787 | Capitol Orthopedic Inc. | Prosthetic/Orthotic Supplier | 11388 Strang Line Rd, Lenexa, KS 66215-4041 | 2013-05-15 |
| 1306146592 | Accurate Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 311 Fort Riley Blvd, Manhattan, KS 66502-6357 | 2010-10-22 |
| 1447576582 | Urban Studios LLC | Prosthetic/Orthotic Supplier | 820 Commons Place, Manhattan, KS 66503 | 2010-04-14 |
| 1760705156 | University of Kansas Hospital Authority | Prosthetic/Orthotic Supplier | 2330 Shawnee Mission Parkway Ste. 2200, Missys' Boutique, Westwood, KS 66205-2005 | 2010-03-12 |
| Find all providers with the same taxonomy | ||||
| City | CLAY CENTER |
| Zip Code | 67432 |
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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.