INNER COASTAL ORTHOTICS AND PROSTHETICS (NPI# 1790175917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790175917 |
| Entity Type | Organization |
| Organization Name | INNER COASTAL ORTHOTICS AND PROSTHETICS |
| Practice Address |
1102 North Brown St. Washington NC 27889 |
| Practice Telephone | 2526232200 |
| Practice Fax Number | 2526232015 |
| Mailing Telephone | 2526232200 |
| Mailing Fax Number | 2526232015 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |
| Authorized Official Name | GREG MICHAEL BERRY (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2526232200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1102 NORTH BROWN ST. |
| City | WASHINGTON |
| State | NC |
| Zip Code | 27889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336786326 | Coastal Solutions LLC | Counselor | 51 Hwy 33 W, Chocowinity, NC 27889 | 2019-12-09 |
| 1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
| 1649780032 | John Bailey Bland II | Chiropractor | 610 W. 15th. St., Washington, NC 27889 | 2017-10-11 |
| 1255780136 | County of Beaufort | Ambulance | 1420 Highland Drive, Washington, NC 27889 | 2016-06-10 |
| 1972847390 | Country Living Guest Home #7 | Community/Behavioral Health | 207 W 11th St, Washington, NC 27889 | 2012-11-26 |
| 1104182005 | Country Living Guest Home #8 | Community/Behavioral Health | 618 Plant St, Washington, NC 27889 | 2012-04-04 |
| 1881986537 | Mary Lewis Scarbraugh | Social Worker | 408 E. 11th St., Washington, NC 27889 | 2011-05-12 |
| 1952615825 | Country Living Guest Home #6 | Community/Behavioral Health | 252 Dan Taylor Rd, Washington, NC 27889 | 2010-08-03 |
| 1376784371 | Jennifer Michele Richardson | Nurse Practitioner | 1207 Highland Drive, Washington, NC 27889 | 2009-03-20 |
| 1619136025 | Peoplefirst | Skilled Nursing Facility | 250 Lovers Lane, Washington, NC 27889 | 2008-06-02 |
| Find all providers in zip 27889 | ||||
| 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 |
|---|---|---|---|---|
| 1639131592 | Greg Berry | Orthotist | 1102 Brown St, Washington, NC 27889 | 2006-04-05 |
| 1316098023 | Stephen Gregory Truesdale | Orthotist | 405 W 15th St, 201, Washington, NC 27889-3524 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603442 | Alan Kur | Orthotist | 508 Small Dr, Elizabeth City, NC 27909-9498 | 2020-06-09 |
| 1497386452 | Kaddie Surratt | Orthotist | 400 Meadowmont Village Cir Ste 425, Chapel Hill, NC 27517-7505 | 2020-01-29 |
| 1386288298 | Limbionics of Goldsboro, Inc. | Orthotist | 2103 Wayne Memorial Dr Ste B, Goldsboro, NC 27534-1721 | 2019-11-04 |
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1790346559 | Alexander Hedquist | Orthotist | 3224 Lake Woodard Dr Ste 100, Raleigh, NC 27604-3659 | 2019-06-24 |
| 1558856450 | Jason Pantages | Orthotist | 200 Timberhill Pl Unit 203, Chapel Hill, NC 27514-1964 | 2018-06-25 |
| 1326530809 | Zoe Butler | Orthotist | 5007 Southpark Dr Ste 110, Durham, NC 27713-7739 | 2018-05-31 |
| 1407350507 | Performance Footcare | Orthotist | 2024 Randolph Rd, Charlotte, NC 28207-1216 | 2018-03-22 |
| 1437660834 | Christos George Lemonis | Orthotist | 10420 Park Rd Ste 100a, Charlotte, NC 28210-8501 | 2017-10-12 |
| 1871003616 | Andrew Humann | Orthotist | 715 Fairgrove Church Rd Se Ste 203, Conover, NC 28613-9289 | 2017-10-06 |
| Find all providers with the same taxonomy | ||||
| City | WASHINGTON |
| Zip Code | 27889 |
Please comment or provide details below to improve the information on INNER COASTAL ORTHOTICS AND PROSTHETICS.
| 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.