CUSTOM ORTHOTICS LAB PLLC (NPI# 1649537226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649537226 |
| Entity Type | Organization |
| Organization Name | CUSTOM ORTHOTICS LAB PLLC |
| Other Organization Name | J HILL PEDORTHICS |
| Practice Address |
3423 E Silver Springs Blvd Ste 2 Ocala FL 34470-6464 |
| Mailing Address |
3423 E. Silver Springs Blvd Ste 2 Ocala FL 34470-6464 |
| Practice Telephone | 3523906113 |
| Practice Fax Number | 3523906973 |
| Mailing Telephone | 3523906113 |
| Mailing Fax Number | 3523906973 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2019-05-03 |
| Authorized Official Name | MR. ADAM NADLER (OWNER) |
| Authorized Official Telephone | 9545405425 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | PED192 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| J Hill Pedorthics | Doing Business As Name - Organization |
| Street Address |
3423 E SILVER SPRINGS BLVD STE 2 |
| City | OCALA |
| State | FL |
| Zip Code | 34470-6464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548544505 | Jamie T Hill | Pedorthist | 3423 E Silver Springs Blvd Ste 2, Ocala, FL 34470-6464 | 2011-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568988947 | Quad Nurse Home Health Care LLC | Home Health | 2647 Ne 3rd Street, Suite #2, Ocala, FL 34470 | 2017-08-17 |
| 1609306208 | Samuel's Transportation, Inc. | Non-emergency Medical Transport (VAN) | 5905 Ne 3rd Pl, Ocala, FL 34470 | 2017-06-15 |
| 1932555802 | Chenora Netaschia Adjei-christie | Counselor | 3620 Ne 8th Pl Ste 5, Ocala, FL 34470 | 2016-05-10 |
| 1811363906 | Clinical Laboratory Diagnostics, LLC. | Clinical Medical Laboratory | 3855 East Silver Springs Blvd., Executive Suite 105, Ocala, FL 34470 | 2015-08-12 |
| 1659787752 | Molly Bordelon Stanford | Dentist | 4910 E Silver Springs Blvd, Ocala, FL 34470 | 2014-07-09 |
| 1346651502 | Christopher M. Pell, LLC | Chiropractor | 901 E Silver Springs Blvd, Ocala, FL 34470 | 2014-05-09 |
| 1174831242 | Lisa Buckler Wood | Massage Therapist | 611 Ne 25th Avenue, Ocala, FL 34470 | 2010-09-22 |
| 1578890349 | Diane C Bandy | Counselor | 1701 Ne 42nd Avenue, Ocala, FL 34470 | 2009-11-15 |
| 1992949341 | M Jane Foye | Family Medicine | 1515 W Silver Springs Blvd., #226, Ocala, FL 34470 | 2009-04-29 |
| 1205077005 | Robert Floyd Bitters | Hearing Instrument Specialist | 111 Ne 25th Ave, Suite 204, Ocala, FL 34470 | 2009-03-09 |
| Find all providers in zip 34470 | ||||
| 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 |
|---|---|---|---|---|
| 1619509395 | Sky Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 3233 Sw 33rd Rd Ste 201, Ocala, FL 34474-8469 | 2020-02-10 |
| 1750844866 | Unique Lingerie Services LLC | Prosthetic/Orthotic Supplier | 4414 Sw College Rd Unit 1930, Ocala, FL 34474-4795 | 2019-04-08 |
| 1578909966 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 3915 Se Lake Weir Avenue, Ocala, FL 34480 | 2013-05-13 |
| 1477715472 | Unique Lingerie, Inc. | Prosthetic/Orthotic Supplier | 4414 Sw College Rd, Suite 1930, Ocala, FL 34474-4790 | 2008-06-30 |
| 1700902772 | Giuseppe P Lombardo | Prosthetic/Orthotic Supplier | 8530 Sw Highway 200, Ocala, FL 34481-2100 | 2007-03-22 |
| 1144222464 | M & M Rehab Inc | Prosthetic/Orthotic Supplier | 9401 Sw Highway 200, Bldg 400 Suite 404, Ocala, FL 34481-9612 | 2005-06-01 |
| 1801406251 | Prosthetic Institute of Central Florida | Prosthetic/Orthotic Supplier | 2206 Se 3rd Ave, Ocala, FL 34471-5103 | 2020-07-31 |
| 1700017514 | M & M Rehab Inc | Prosthetic/Orthotic Supplier | 2300 Se 17th St, Suite 401, Ocala, FL 34471-9107 | 2009-07-29 |
| 1033397476 | Lombardocomfort&casualshoesinc | Prosthetic/Orthotic Supplier | 8530 Sw Highway 200, Ocala, FL 34481-2100 | 2008-02-07 |
| 1770763997 | Angel Wear LLC | Prosthetic/Orthotic Supplier | 11100 Sw 93rd Court Rd, Suite #7, Ocala, FL 34481-5187 | 2007-11-05 |
| Find all providers in OCALA | ||||
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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.