BAMA ORTHOTIC CENTER (NPI# 1861713307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861713307 |
| Entity Type | Organization |
| Organization Name | BAMA ORTHOTIC CENTER |
| Practice Address |
945 Mcfarland Blvd Northport AL 35476-3374 |
| Practice Telephone | 2053394900 |
| Practice Fax Number | 2053394976 |
| Mailing Telephone | 2053394900 |
| Mailing Fax Number | 2053394976 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-10-01 |
| Authorized Official Name | MR. JOHN T. BUSH (OWNER) |
| Authorized Official Telephone | 2053394900 |
| Authorized Official Credential | CPED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 4610 | AL | Suppliers |
| Street Address |
945 MCFARLAND BLVD |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35476-3374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568550168 | Orthotic Center of West Alabama, Inc. | Prosthetic/Orthotic Supplier | 945 Mcfarland Blvd, Northport, AL 35476-3374 | 2006-10-10 |
| 1235215880 | Joe Cantley | Orthotist | 945 Mcfarland Blvd, Northport, AL 35476-3374 | 2006-10-27 |
| 1154405546 | John T Bush | Specialist | 945 Mcfarland Blvd, Northport, AL 35476-3374 | 2006-10-24 |
| 1992887228 | William A Gill | Orthotist | 945 Mcfarland Blvd, Northport, AL 35476-3374 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669942728 | Dch Encore Rehabilitation, LLC | Clinic/Center | Dch Encore Rehabilitation, LLC, 92 Mcfarland Blvd, Northport, AL 35476 | 2018-12-03 |
| 1821592189 | Julia Madrid | Counselor | 1905 4th St Ste 4, Northport, AL 35476 | 2018-03-21 |
| 1740652395 | Restoring Piece LLC | Community/Behavioral Health | 433 Main Avenue, Northport, AL 35476 | 2015-10-22 |
| 1316363740 | Alabama Bariatric and Wellness | Internal Medicine | 1325 Mcfarland Blvd. Suite #209, Northport, AL 35476 | 2014-03-10 |
| 1104170406 | Kerry Thomas, Hill | Chiropractor | 1580 Lurleen Wallace Blvd., Northport, AL 35476 | 2012-11-08 |
| 1366794703 | Back To Fitness | Chiropractor | 1580 Lorleen Wallace Blvd., Northport, AL 35476 | 2012-10-10 |
| 1740532357 | Andrea Austin Barry | Nurse Practitioner | 920 Rose Dr., Northport, AL 35476 | 2012-10-05 |
| 1184995953 | Julie T Guy | Pharmacist | 3107 Lurleen B Wallace Boulevard, Northport, AL 35476 | 2012-01-25 |
| 1427280973 | Ida Denise Robinson | Internal Medicine | 2201 Mcfarland Blvd., Northport, AL 35476 | 2009-08-18 |
| 1700017852 | Bony F Barrineau Md PC | Orthopaedic Surgery | 2201 32nd Street, Northport, AL 35476 | 2009-08-06 |
| Find all providers in zip 35476 | ||||
| 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 |
|---|---|---|---|---|
| 1437239639 | Duncan Pedorthics Inc | Prosthetic/Orthotic Supplier | 2210-a 9th Ave, Northport, AL 35476-4041 | 2006-10-16 |
| 1568550168 | Orthotic Center of West Alabama, Inc. | Prosthetic/Orthotic Supplier | 945 Mcfarland Blvd, Northport, AL 35476-3374 | 2006-10-10 |
| 1083671606 | Orthotic Prosthetic Design, LLC | Prosthetic/Orthotic Supplier | 1061 Martin Luther King Jr Blvd, Northport, AL 35476-4035 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912532367 | Gina Denise Tedford | Prosthetic/Orthotic Supplier | 2301 Highway 31 Nw, Hartselle, AL 35640-4258 | 2020-03-05 |
| 1740794734 | Alabama Artificial Limb & Orthopedic Service, Inc. | Prosthetic/Orthotic Supplier | 721 Oak Circle Dr E Ste B, Mobile, AL 36609-4221 | 2017-11-29 |
| 1922545243 | Windblown Wigs N Thangs | Prosthetic/Orthotic Supplier | 1292 Forestdale Sq, Forestdale, AL 35214-3838 | 2017-01-24 |
| 1386186674 | A Step Ahead Orthotics and Prosthetics Inc | Prosthetic/Orthotic Supplier | 1140 Eagletree Ln Sw Ste 102, Huntsville, AL 35801-7429 | 2016-11-17 |
| 1538619424 | A Step Ahead, LLC | Prosthetic/Orthotic Supplier | 7123 Halcyon Park Dr, Suite A, Montgomery, AL 36117-7702 | 2016-10-04 |
| 1679029698 | Salon Wygs | Prosthetic/Orthotic Supplier | 2236 Cahaba Valley Dr, Birmingham, AL 35242-2671 | 2016-08-30 |
| 1891176517 | Hal Medical O&p, PC | Prosthetic/Orthotic Supplier | 22923 Us Highway 72 Ste A, Athens, AL 35613-7618 | 2015-06-18 |
| 1083093124 | Rhonda Reed | Prosthetic/Orthotic Supplier | 2227 Arlington Ave S, Birmingham, AL 35205-4003 | 2015-05-21 |
| 1285020008 | Restorative Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 28080 Us Highway 98 Ste G, Daphne, AL 36526-7012 | 2015-04-08 |
| 1790179489 | Vamousse/your Salon Refuge | Prosthetic/Orthotic Supplier | 703 3rd Ave N, Birmingham, AL 35203-3023 | 2015-03-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BAMA ORTHOTIC CENTER.
| 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.