NORTH METRO ORTHOTICS AND PROSTHETICS INC (NPI# 1538263678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538263678 |
| Entity Type | Organization |
| Organization Name | NORTH METRO ORTHOTICS AND PROSTHETICS INC |
| Practice Address |
8290 University Ave Ne Suite 310 Fridley MN 55432-1852 |
| Practice Telephone | 7637874664 |
| Practice Fax Number | 7637847747 |
| Mailing Telephone | 7637874664 |
| Mailing Fax Number | 7637847747 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2014-01-28 |
| Authorized Official Name | JESSICA DEHAVEN (CORPORATE SECRETARY) |
| Authorized Official Telephone | 7634380828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
8290 UNIVERSITY AVE NE SUITE 310 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588638514 | Amy C Lindell | Physician Assistant | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2006-02-15 |
| 1568999126 | Peter D Fitzgerald | Physician Assistant | 8290 University Ave Ne, Fridley, MN 55432-1847 | 2017-05-15 |
| 1912358219 | Kelli Michelle Cannata | Physician Assistant | 8290 University Ave Ne, Ste 200, Fridley, MN 55432-1847 | 2016-06-28 |
| 1245614247 | Jenna Evelyn Walker | Occupational Therapist | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2015-07-20 |
| 1891101838 | Katie Mclaughlin | Physician Assistant | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2014-07-10 |
| 1477973246 | Taylor James Ridley | Orthopaedic Surgery | 8290 University Ave Ne, Fridley, MN 55432-1847 | 2014-04-21 |
| 1730515719 | Bryan D Dejarlais | Physical Therapist | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2013-09-23 |
| 1205277571 | Nea Rae Bennington | Physician Assistant | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2013-07-15 |
| 1699010132 | Seth David Engberg | Physical Therapist | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2012-12-11 |
| 1760726053 | Kristina L Withers | Physical Therapist | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2012-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| 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 |
|---|---|---|---|---|
| 1619578648 | Kanika Lanese Baker | Prosthetic/Orthotic Supplier | 7240 Brooklyn Blvd Ste 150, Brooklyn Park, MN 55429-1274 | 2020-11-05 |
| 1932758067 | David Allen Young | Prosthetic/Orthotic Supplier | 1163 Wayzata Blvd E, Wayzata, MN 55391-1935 | 2019-09-11 |
| 1073080230 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2805 Campus Dr Ste 101, Plymouth, MN 55441-2676 | 2018-10-25 |
| 1760998165 | Abilitech Medical, Inc. | Prosthetic/Orthotic Supplier | 628 Pine St, Saint Paul, MN 55130-4421 | 2017-12-20 |
| 1003351990 | Arise Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 8338 Highway 65 Ne, Suite E, Spring Lake Park, MN 55432-1364 | 2016-12-30 |
| 1073065298 | Language of Hair | Prosthetic/Orthotic Supplier | 1615 London Rd, Duluth, MN 55812-1620 | 2016-11-04 |
| 1275900664 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 12401 Wayzata Blvd, Minnetonka, MN 55305-1974 | 2015-09-01 |
| 1326483264 | Prosthetic Specialties LLC | Prosthetic/Orthotic Supplier | 13143 Lake Place Rd, Zimmerman, MN 55398-9567 | 2013-05-06 |
| 1427300706 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1073 Highway 15 S, Plaza 15, Hutchinson, MN 55350-3153 | 2012-10-10 |
| 1033461322 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 300 Catlin St Ste 104, Buffalo, MN 55313-2035 | 2012-10-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTH METRO ORTHOTICS AND PROSTHETICS INC.
| 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.