RIO GRANDE ORTHOTICS AND PROSTHETICS (NPI# 1831653831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831653831 |
| Entity Type | Organization |
| Organization Name | RIO GRANDE ORTHOTICS AND PROSTHETICS |
| Practice Address |
4824 Mcmahon Blvd Nw Ste 112 Albuquerque NM 87114-5412 |
| Mailing Address |
1691 Galisteo St Ste B Santa Fe NM 87505-4781 |
| Practice Telephone | 5055085996 |
| Practice Fax Number | 5055085488 |
| Mailing Telephone | 5058202390 |
| Mailing Fax Number | 5058202392 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | CARMEN M MAZON (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 5058202390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Advanced Prosthetics and Orthotics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578009296 | Rio Grande Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 1010 Lead Ave Se, Ste 400, Albuquerque, NM 87106-5214 | 2017-01-19 |
| 1972680593 | Rio Grande Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 1691 Galisteo St, Suite B, Santa Fe, NM 87505-4780 | 2006-11-01 |
| Street Address |
4824 MCMAHON BLVD NW STE 112 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87114-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
| 1255896353 | 32 Degrees Genuine, LLC | Counselor | 10143 4th St Nw, Albuquerque, NM 87114 | 2019-02-04 |
| 1548789365 | Maureen Chavez | Occupational Therapist | 10501 Golf Course, Albuquerque, NM 87114 | 2017-09-13 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1124494323 | Geri Davis | Nurse Practitioner | 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 | 2015-08-11 |
| 1427432111 | Marcia Nicole Cowen | Nurse Practitioner | 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 | 2015-07-13 |
| 1013315399 | Amy Brown | Counselor | 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 | 2014-12-18 |
| 1851793392 | Elaine Barbara Beckett | Pharmacist | 10224 Coors-by-pass Nw, Albuquerque, NM 87114 | 2014-09-16 |
| 1174924344 | Sherrica Cressor | Counselor | 20 Pond Road, County Road 11, Cuba, NM 87114 | 2014-09-08 |
| 1427467513 | Colleen Temkin | Pharmacist | 10224 Coors By Pass Nw, Albuquerque, NM 87114 | 2014-08-04 |
| Find all providers in zip 87114 | ||||
| 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 |
|---|---|---|---|---|
| 1700347358 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 401 Alvarado Dr Se Ste C, Albuquerque, NM 87108-2939 | 2019-03-27 |
| 1336613298 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 401 Alvarado Dr Se, Albuquerque, NM 87108-2939 | 2019-01-14 |
| 1548679897 | Functional Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 5111 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87111-2672 | 2014-08-11 |
| 1104187855 | Lower Extremity International LLC | Prosthetic/Orthotic Supplier | 9428 Lexington Ave Ne Suite E, Albuquerque, NM 87112-1375 | 2012-05-30 |
| 1639488588 | Estetica De Ella Salon (cranial Prosthesis) | Prosthetic/Orthotic Supplier | 2510 San Mateo Pl Ne, Albuquerque, NM 87110-4064 | 2010-09-27 |
| 1528276318 | Albuquerque Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 4909 Ellison St Ne, Suite A, Albuquerque, NM 87109-4331 | 2007-05-18 |
| 1740236819 | Active Life Inc | Prosthetic/Orthotic Supplier | 124 Alvarado Dr Se, Albuquerque, NM 87108-2940 | 2006-05-26 |
| 1902883473 | Prosthetic Orthotic Specialists, Inc | Prosthetic/Orthotic Supplier | 5095 Ellison St Ne, Albuquerque, NM 87109-4326 | 2005-12-27 |
| 1891354197 | Active Life Orthotics and Prosthetics Corp | Prosthetic/Orthotic Supplier | 124 Alvarado Dr Se, Albuquerque, NM 87108-2940 | 2019-06-10 |
| 1528506821 | Active Life Orthotics and Prosthetics Corp. | Prosthetic/Orthotic Supplier | 6211 San Mateo Blvd Ne, Suite 150, Albuquerque, NM 87109-3533 | 2017-02-07 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87114 |
Please comment or provide details below to improve the information on RIO GRANDE 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.