SNELL PROSTHETIC & ORTHOTIC LABORATORY (NPI# 1831629070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831629070 |
| Entity Type | Organization |
| Organization Name | SNELL PROSTHETIC & ORTHOTIC LABORATORY |
| Practice Address |
612 Office Park Dr Bryant AR 72022-7519 |
| Mailing Address |
625 N University Ave Little Rock AR 72205-2917 |
| Practice Telephone | 5016642624 |
| Practice Fax Number | 5016641708 |
| Mailing Telephone | 5016642624 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| Authorized Official Name | RICK FLEETWOOD (CEO) |
| Authorized Official Telephone | 5016642624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 104335716 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245575570 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 2915 Dave Ward Dr Ste 11, Conway, AR 72034-9375 | 2012-11-27 |
| 1881679058 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 416 W Main St, El Dorado, AR 71730-5710 | 2005-12-10 |
| 1609851872 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 2300 W Main St, Russellville, AR 72801-2529 | 2005-12-10 |
| 1063497238 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 4420 E 43rd St, North Little Rock, AR 72117-2740 | 2005-12-10 |
| 1518942788 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 1411 Dodson Ave, Fort Smith, AR 72901-5109 | 2005-12-10 |
| 1427033695 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 333 Highway 5 N, Suite 4, Mountain Home, AR 72653-3026 | 2005-12-10 |
| 1154306322 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 3810 Central Ave, Suite B, Hot Springs, AR 71913-6903 | 2005-12-10 |
| 1245215417 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 3416 N College Ave, Suite 1, Fayetteville, AR 72703-5105 | 2005-12-10 |
| 1972588143 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 900 Professional Acres Dr, Jonesboro, AR 72401-4321 | 2005-12-10 |
| 1215912779 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 625 N University Ave, Little Rock, AR 72205-2917 | 2005-12-07 |
| Street Address |
612 OFFICE PARK DR |
| City | BRYANT |
| State | AR |
| Zip Code | 72022-7519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608868 | Lindsay Paige Macphee | Behavior Technician | 22461-i-30 Frontage Road, Bryant, AR 72022 | 2020-10-29 |
| 1952913469 | Kaleigh Angleton | Pharmacist | 5500 Ar-5, Bryant, AR 72022 | 2020-08-18 |
| 1851937254 | Lonnell O Seamster Sr. | Nurse Practitioner | 501 Woody Drive, Alexander, AR 72022 | 2019-11-20 |
| 1366098998 | Hannah Marie London | Occupational Therapist | 350 School Drive, Bryant, AR 72022 | 2019-08-09 |
| 1356996987 | Micah Self | Occupational Therapy Assistant | 200 Nw 4th Street, Bryant, AR 72022 | 2019-08-09 |
| 1114437548 | Samantha Lee Davis | Behavioral Analyst | 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 | 2017-10-12 |
| 1164962171 | Healthcare Express, LLP | Clinic/Center | 23150 I-30 N, Bryant, AR 72022 | 2017-02-24 |
| 1205283223 | V & S Xpress LLC | Non-emergency Medical Transport (VAN) | 719 Sedgefield, Bryant, AR 72022 | 2016-05-19 |
| 1467877969 | Arkansas Maxillofacial Surgery Center | Dentist | 411 Office Park Dr, Bryant, AR 72022 | 2014-02-20 |
| 1558614511 | Melissa Robertson | Audiologist | 501 Jack Stephens Dr #547-05, Little Rock, AR 72022 | 2012-10-16 |
| Find all providers in zip 72022 | ||||
| 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 |
|---|---|---|---|---|
| 1306129747 | Hortons Orthotic Lab Inc | Prosthetic/Orthotic Supplier | 605 W Commerce Dr, Bryant, AR 72022-7510 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028371 | West Orthotics, LLC | Prosthetic/Orthotic Supplier | 2711 S Caraway Rd Ste B, Jonesboro, AR 72401-7334 | 2020-09-22 |
| 1114547528 | Chelsea N. Briggs | Prosthetic/Orthotic Supplier | 4601 S Main St Apt 514, Pine Bluff, AR 71601-7482 | 2020-04-26 |
| 1184244600 | Chelsea Briggs | Prosthetic/Orthotic Supplier | 601 S Main St Apt 514, Pine Bluff, AR 71601 | 2020-04-24 |
| 1457832354 | Celebrity Styles Inc. | Prosthetic/Orthotic Supplier | 7 Shackleford Plz, Little Rock, AR 72211-1826 | 2018-08-28 |
| 1184104309 | Prosthetic One | Prosthetic/Orthotic Supplier | 11908 Kanis Rd Ste G7, Little Rock, AR 72211-3773 | 2018-08-16 |
| 1376036962 | David A. Yates & Associates, Inc. | Prosthetic/Orthotic Supplier | 2103 S 54th St Ste 1, Rogers, AR 72758-8126 | 2018-06-08 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| 1952774259 | Maranda Watkins | Prosthetic/Orthotic Supplier | 601 S 21st St, Fort Smith, AR 72901-3914 | 2015-11-09 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1760721971 | David A. Yates & Associates, Inc. | Prosthetic/Orthotic Supplier | 820 Professional Acres Dr, Jonesboro, AR 72401-4340 | 2013-02-07 |
| Find all providers with the same taxonomy | ||||
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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.