INNOVATIVE ORTHOTICS & REHABILITATION INC (NPI# 1952395261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952395261 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE ORTHOTICS & REHABILITATION INC |
| Other Organization Name | INNOVATIVE ORTHOTICS INC |
| Practice Address |
1300 Dekalb Ave Ne Atlanta GA 30307-2027 |
| Practice Telephone | 4042229998 |
| Practice Fax Number | 4042229958 |
| Mailing Telephone | 4042229998 |
| Mailing Fax Number | 4042229958 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ANGELIA S DEFRANCIS (PARTNER) |
| Authorized Official Telephone | 4042229998 |
| Authorized Official Credential | PARTNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00685121A | 05 |
| Other Name | Type Code |
|---|---|
| Innovative Orthotics Inc | Former Legal Business Name - Organization |
| Street Address |
1300 DEKALB AVE NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30307-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
| 1366062846 | Key Counseling Group, LLC | Social Worker | 675 Seminole Ave. Ne, Ste. 111, Atlanta, GA 30307 | 2020-04-24 |
| 1730683749 | Kristina Joy Betz | Pediatrics | 2105 Uppergate Drive, Atlanta, GA 30307 | 2018-03-23 |
| 1336658558 | Erin Asteghene | Specialist/Technologist | 1509 South Ponce De Leon Ave., Atlanta, GA 30307 | 2017-09-20 |
| 1689196446 | Sera Kim | Student in an Organized Health Care Education/Training Program | 1648 Pierce Drive Ne, Atlanta, GA 30307 | 2017-07-13 |
| 1164974168 | Megan Elizabeth Tarshis | Social Worker | 675 Seminole Ave., Suite 210, Atlanta, GA 30307 | 2016-10-26 |
| 1255703880 | Jennifer Browning Eastman | Speech-Language Pathologist | 1053 Oakdale Road, Atlanta, GA 30307 | 2015-10-22 |
| 1639566714 | Amit Shah | Student in an Organized Health Care Education/Training Program | 1648 Pierce Drive, Atlanta, GA 30307 | 2015-04-16 |
| 1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
| 1942568803 | Sarah Coyle Burke | Anesthesiology | 870 Inman Village Pkwy Ne, #305, Atlanta, GA 30307 | 2012-04-30 |
| Find all providers in zip 30307 | ||||
| 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 |
|---|---|---|---|---|
| 1548860810 | Crowns of Love Inc | Prosthetic/Orthotic Supplier | 707 Park Ave Ne Apt 1382, Atlanta, GA 30326-3410 | 2020-10-27 |
| 1366063596 | Stylish Styles By Tee | Prosthetic/Orthotic Supplier | 6595 Roswell Rd Ste G1169, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1174185482 | Glamore Hair | Prosthetic/Orthotic Supplier | 2275 Marietta Blvd Nw Ste 270-384, Atlanta, GA 30318-2004 | 2019-07-08 |
| 1952965683 | Icon Hair and Wigs LLC | Prosthetic/Orthotic Supplier | 481b Flat Shoals Ave Se, Atlanta, GA 30316-1913 | 2019-04-29 |
| 1053838979 | Brandy Nikia Respert | Prosthetic/Orthotic Supplier | 4705 Ashford Dunwoody Rd Ste 18, Atlanta, GA 30338-5566 | 2017-08-23 |
| 1720432974 | Zephyr Salon | Prosthetic/Orthotic Supplier | 335 Hammond Dr, Atlanta, GA 30328-5020 | 2016-04-13 |
| 1053749341 | Absolute Image Consulting Inc. | Prosthetic/Orthotic Supplier | 8323 Dunwoody Pl, Atlanta, GA 30350-3307 | 2013-10-23 |
| 1760786859 | M&m Foot Solutions | Prosthetic/Orthotic Supplier | 6307 Roswell Rd Ne Ste B, Atlanta, GA 30328-3200 | 2011-01-04 |
| 1881611838 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 3500 Peachtree Rd Ne Ste A1, Atlanta, GA 30326-1231 | 2006-07-16 |
| 1811913239 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 4390 Ashford Dunwoody Rd Ne, Atlanta, GA 30346-1504 | 2006-07-15 |
| Find all providers in ATLANTA | ||||
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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.