O & P CLINICAL TECHNOLOGIES, INC. (NPI# 1801195540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801195540 |
| Entity Type | Organization |
| Organization Name | O & P CLINICAL TECHNOLOGIES, INC. |
| Other Organization Name | PINNACLE ORTHOTIC & PROSTHETIC SERVICES |
| Practice Address |
5959 Shallowford Rd Ste 215 Chattanooga TN 37421-2215 |
| Practice Telephone | 4236484898 |
| Practice Fax Number | 4234994979 |
| Mailing Telephone | 4236484898 |
| Mailing Fax Number | 4234994979 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2020-01-17 |
| Authorized Official Name | MR. PAUL E PRUSAKOWSKI (PRESIDENT/CEO) |
| Authorized Official Telephone | 3523314221 |
| Authorized Official Credential | LPO, CPO, FAAOP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 000053 | GA | Suppliers |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
121 | TN | Suppliers |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 100 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1524374 | 05 | |
| CAGE | 75VX6 | 01 | |
| DUNS | 034877323 | 01 |
| Other Name | Type Code |
|---|---|
| Pinnacle Orthotic & Prosthetic Services | Doing Business As Name - Organization |
| Pinnacle Orthotics and Prosthetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871775668 | O & P Clinical Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 3870 Nw 83rd St, Gainesville, FL 32606-5601 | 2007-12-03 |
| Street Address |
5959 SHALLOWFORD RD STE 215 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| 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 |
|---|---|---|---|---|
| 1437646171 | Amputee Solutions LLC | Prosthetic/Orthotic Supplier | 7401 E Brainerd Rd Ste 140, Chattanooga, TN 37421-3194 | 2018-04-18 |
| 1417451048 | The Plastic Surgery Group,pc | Prosthetic/Orthotic Supplier | 1949 Gunbarrel Rd Ste 303, Chattanooga, TN 37421-3188 | 2018-03-20 |
| 1336508431 | Ultraflex Systems, Inc. | Prosthetic/Orthotic Supplier | 200 W. Martin Luther King Blvd., Suite 1000, Chattanooga, TN 37402 | 2016-02-17 |
| 1669655999 | Dynamic Prosthetic & Orthotic, LLC | Prosthetic/Orthotic Supplier | 2116 Mccallie Ave, Chattanooga, TN 37404-3118 | 2007-12-10 |
| 1538357660 | P.s. Nails and Etc | Prosthetic/Orthotic Supplier | 480 Greenway View Dr, Suite 119, Chattanooga, TN 37411-5693 | 2007-10-15 |
| 1689891186 | Tara L Hewlett-bryant | Prosthetic/Orthotic Supplier | 557 N Willow St, Chattanooga, TN 37404-2233 | 2007-04-19 |
| 1225162548 | Center for Orthotic and Prosthetic Care of Ky, LLC | Prosthetic/Orthotic Supplier | 815 Brookhollow Ln, Chattanooga, TN 37421-4585 | 2007-03-16 |
| 1417055732 | Stubbs Prosthetics & Orthotics, Inc | Prosthetic/Orthotic Supplier | 5715 Uptain Rd Ste 5800, Chattanooga, TN 37411-5655 | 2006-09-20 |
| 1275571606 | Fillauer Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2710 Amnicola Hwy, Chattanooga, TN 37406-3603 | 2006-06-04 |
| 1053395780 | Stubbs Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 5715 Uptain Rd, Suite 5800, Chattanooga, TN 37411-5511 | 2005-12-06 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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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.