CPO SERVICES, INC (NPI# 1578890976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578890976 |
| Entity Type | Organization |
| Organization Name | CPO SERVICES, INC |
| Other Organization Name | COMPREHENSIVE PROSTHETICS AND ORTHOTICS |
| Practice Address |
2011 Rock St Suite D2 Peru IL 61354 |
| Mailing Address |
416 Ne Saint Mark Ct Suite 310 Peoria IL 61603-3742 |
| Practice Telephone | 8886762276 |
| Mailing Telephone | 3096762276 |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | MR. DONALD GOERTZEN (PRESIDENT) |
| Authorized Official Telephone | 3096762276 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | Y |
| Parent Organization Name | CPO SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224P00000X | Prosthetist | 213-000118 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 222Z00000X | Orthotist | 213-000118 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| COMPREHENSIVE PROSTHETICS AND ORTHOTICS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710202056 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 3030 N. Woodford Street, Decatur, IL 62526 | 2010-03-30 |
| 1073849816 | Cpo Services, Inc | Prosthetist | 2703 Mcgraw Dr, Suite 3, Bloomington, IL 61704 | 2009-10-29 |
| 1174573307 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 741 West Main Street, Peoria, IL 61606 | 2006-05-10 |
| 1952664385 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 1521 W Walnut St, Jacksonville, IL 62650 | 2012-06-20 |
| 1811277692 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 535 Roxbury Rd, Lower Level, Rockford, IL 61107 | 2011-08-24 |
| 1639459415 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 1222 Shooting Park Rd, #104, Peru, IL 61354 | 2011-08-24 |
| 1295062594 | Cpo Services, Inc | Orthotist | 729 Broadway St, Quincy, IL 62301-2708 | 2009-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CPO SERVICES, INC. | 741 W Main St, Peoria, IL 61606 |
| Indiana Business Entities | CPO SERVICES, INC. | 2005 Wild Rose Trail, Portage, IN 46368-1683 |
| Street Address |
2011 ROCK ST SUITE D2 |
| City | PERU |
| State | IL |
| Zip Code | 61354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013014778 | Timothy John Mertes | Chiropractor | 2011 Rock St, Suite F, Peru, IL 61354-1385 | 2006-09-17 |
| 1477947661 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 2011 Rock St, Ste E, Peru, IL 61354-1385 | 2015-03-25 |
| 1841558798 | Kendra Renee Herman | Physical Therapist | 2011 Rock St, Suite E, Peru, IL 61354-1385 | 2012-04-29 |
| 1447371398 | Tricia Marie Cook | Physical Therapist | 2011 Rock St, Suite E, Peru, IL 61354-1385 | 2007-04-02 |
| 1124177720 | Timothy Paul Haas | Dentist | 2011 Rock St, Suite, B, Peru, IL 61354-1385 | 2007-01-10 |
| 1164572608 | Luke Smith | Physical Therapist | 2011 Rock St, Suite E, Peru, IL 61354-1385 | 2007-01-10 |
| 1962561241 | Timothy J Mertes and Michael D Piller Partners | Chiropractor | 2011 Rock St, Suite F, Peru, IL 61354-1385 | 2006-12-06 |
| 1932208915 | Family Foot Care PC | Podiatrist | 2011 Rock St, Suite D1, Peru, IL 61354 | 2006-09-22 |
| 1407955487 | Larry David Ketner | Podiatrist | 2011 Rock St, Suite D1, Peru, IL 61354 | 2006-09-22 |
| 1316044084 | Michael Donald Piller | Chiropractor | 2011 Rock St, Suite F, Peru, IL 61354-1385 | 2006-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
| 1689228322 | Zhong Xue | Dentist | 5301 Il-251, Ste A, Peru, IL 61354 | 2019-07-31 |
| 1003281668 | Christopher Shane Smith | Physical Therapist | 1400 Midtown Road, Peru, IL 61354 | 2015-12-08 |
| 1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
| 1306194451 | Vijaya Lakshmi Bathina | Dentist | 5301 Route 251, Peru, IL 61354 | 2012-08-21 |
| 1225305634 | Walgreens | Point of Service | 1033 Shooting Park Road, Peru, IL 61354 | 2011-11-30 |
| 1811293574 | Charles Riva | Physical Therapist | 4461 N. Progress Blvd., Peru, IL 61354 | 2011-01-28 |
| 1932403896 | Emerging Vision, Inc | Eyewear Supplier (Equipment, not the service) | 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 | 2011-01-06 |
| 1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
| Find all providers in zip 61354 | ||||
| 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 |
|---|---|---|---|---|
| 1073140414 | Phoenix Rising Prosthetic Orthotic Service Pllc | Orthotist | 330 W Colfax St Ste 100, Palatine, IL 60067-2538 | 2020-03-25 |
| 1730724394 | Pr Orthotics & Ot LLC | Orthotist | 4711 Golf Rd Ste 1055, Skokie, IL 60076-1272 | 2019-11-07 |
| 1831691104 | Ashley Zinnamon | Orthotist | 1525 E 55th St Ste 204, Chicago, IL 60615-5512 | 2018-03-02 |
| 1194225227 | David B Rotter | Orthotist | 121 Springfield Ave Ste 4, Joliet, IL 60435-6545 | 2018-02-15 |
| 1336651264 | Sandra Jean Schechner | Orthotist | 302 W Rosalie Ln, Palatine, IL 60074-1065 | 2017-11-01 |
| 1356798896 | Rick Allen | Orthotist | 5929 East Riverside Blvd, Rockford, IL 61114-4937 | 2016-05-14 |
| 1124484381 | Hori S Singha | Orthotist | 649 Ridgeview Dr., Mchenry, IL 60050 | 2016-01-04 |
| 1881947091 | Woodfield Ortho Services, LLC | Orthotist | 2401 Kaneville Rd Ste 2, Geneva, IL 60134-2577 | 2012-10-25 |
| 1881964757 | Rinella Orthotics, Inc. | Orthotist | 1890 Silver Cross Blvd # 445, New Lenox, IL 60451-9508 | 2012-01-09 |
| 1306065958 | Erik James Lindholm | Orthotist | 1316 Black Rd, Joliet, IL 60435-3962 | 2007-04-24 |
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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.