MR. IGOR MALITSKY (NPI# 1497801666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497801666 |
| Entity Type | Individual |
| Full Name | MR. IGOR MALITSKY |
| Credential | CPED |
| Practice Address |
51 Shunpike Rd Ste 41 Cromwell CT 06416-2497 |
| Practice Telephone | 8606357653 |
| Practice Fax Number | 8606352080 |
| Mailing Telephone | 8606357653 |
| Mailing Fax Number | 8606352080 |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2007-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | 20361 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
51 SHUNPIKE RD STE 41 |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437588175 | New England Orthotic & Prosthetics Systems, LLC | Prosthetic/Orthotic Supplier | 51 Shunpike Rd Ste 41, Cromwell, CT 06416-2497 | 2013-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists 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 |
|---|---|---|---|---|
| 1427437946 | Peter Mace | Orthotist | 283 Hartford Ave, Wethersfield, CT 06109-1256 | 2015-05-29 |
| 1710022454 | Christopher Neil Heon | Orthotist | 282 State St, North Haven, CT 06473-2191 | 2007-02-20 |
| 1831253228 | Vito Joseph Disibio | Orthotist | 99 Farmington Ave, Bristol, CT 06010 | 2006-12-20 |
| 1497782288 | David Ashley Knapp | Orthotist | 131 Main Street Ext # 1, Middletown, CT 06457 | 2006-06-27 |
| 1740715838 | David Hill Lammlin | Orthotist | 712 Brook St, Rocky Hill, CT 06067-3447 | 2017-04-26 |
| 1538600069 | Ryan Pane | Orthotist | 115 Technology Dr, Sutie Cp102, Trumbull, CT 06611-6337 | 2017-03-16 |
| 1326589813 | Thomas Stec | Orthotist | 115 Technology Dr, Suite Cp102, Trumbull, CT 06611-6342 | 2017-03-16 |
| 1669913166 | Andrew Dows | Orthotist | 115 Technology Dr, Trumbull, CT 06611-6337 | 2017-03-16 |
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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.