PROGRESSIVE ORTHOTICS LTD (NPI# 1952489163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952489163 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE ORTHOTICS LTD |
| Practice Address |
280 Middle Country Rd Ste G Selden NY 11784-2532 |
| Practice Telephone | 6317325556 |
| Practice Fax Number | 6317320218 |
| Mailing Telephone | 6317325556 |
| Mailing Fax Number | 6317320218 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-03-12 |
| Authorized Official Name | MR. BRUCE S GOODMAN (CEO) |
| Authorized Official Telephone | 6317325556 |
| Authorized Official Credential | CO BOCP |
| Is Organization Subpart | Y |
| Parent Organization Name | PROGRESSIVE ORTHOTICS LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00615045 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396938775 | Progressive Orthotics Ltd | Prosthetic/Orthotic Supplier | 285 Sills Rd, Suite 8c, Patchogue, NY 11772 | 2007-08-20 |
| Street Address |
280 MIDDLE COUNTRY RD STE G |
| City | SELDEN |
| State | NY |
| Zip Code | 11784-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144700113 | Taylor Mones | Occupational Therapist | 38 Sandy Lane, Selden, NY 11784 | 2018-08-18 |
| 1467942912 | Lisa Lucchese | Registered Nurse | 40 Kensington Avenue, Selden, NY 11784 | 2018-05-10 |
| 1194246629 | Jessica Ann Cutrone | Specialist | 13 Berkeley Ave, Selden, NY 11784 | 2017-07-06 |
| 1811429780 | Jennifer Kinsella | Registered Nurse | 553 College Road, Selden, NY 11784 | 2017-03-30 |
| 1932647781 | Kathleen A Reilly | Behavior Technician | 25 Buckskin Lane, Selden, NY 11784 | 2017-02-01 |
| 1942758933 | Claire Moore | Physician Assistant | 239 Boyle Rd Ste 7, Selden, NY 11784 | 2016-09-19 |
| 1104206051 | Anna Satalino | Psychologist | 163 South Evergreen Dr, Selden, NY 11784 | 2015-06-05 |
| 1275963597 | Rosalyn Grasparil | Physical Therapist | 260 Middle Country Rd Bldg 3 Suite 9-a, Selden, NY 11784 | 2013-11-22 |
| 1295002772 | Christian Leparto | Registered Nurse | 12 Elm Ct, Selden, NY 11784 | 2011-11-28 |
| 1275800260 | Maryse Leveque | Registered Nurse | 4 Richard Road, Selden, NY 11784 | 2011-11-19 |
| Find all providers in zip 11784 | ||||
| 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 |
|---|---|---|---|---|
| 1538796545 | Ffh Concepts LLC | Prosthetic/Orthotic Supplier | 545 Saw Mill River Rd Ste 1a, Ardsley, NY 10502-2159 | 2020-03-27 |
| 1417584046 | Alta Vista Inc. | Prosthetic/Orthotic Supplier | 420 Madison Ave Fl 2, New York, NY 10017-1195 | 2020-03-24 |
| 1114554904 | Britica Management Group Inc | Prosthetic/Orthotic Supplier | 40 Gardenville Pkwy Ste 200, West Seneca, NY 14224-1399 | 2020-03-24 |
| 1992332837 | Genesis II Hair Replacement Studio | Prosthetic/Orthotic Supplier | 405 E Taft Rd, North Syracuse, NY 13212-3734 | 2020-03-23 |
| 1548895113 | East Coast Orthotic & Prosthetic Corp. | Prosthetic/Orthotic Supplier | 326 2nd Ave, New York, NY 10003-2732 | 2020-03-04 |
| 1154964955 | Northern Orthopedic Laboratory Inc. | Prosthetic/Orthotic Supplier | 6604 State Highway 56 Apt 6, Potsdam, NY 13676-3546 | 2019-10-24 |
| 1285275354 | Chanta Mabry | Prosthetic/Orthotic Supplier | 1787 Fulton St, Brooklyn, NY 11233-3029 | 2019-09-30 |
| 1659921716 | Millenium Medical Products, Inc | Prosthetic/Orthotic Supplier | 204 19 12th Ave, Rockaway Point, NY 11697-1120 | 2019-09-19 |
| 1700435278 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 200 Old Country Rd Ste 590a, Mineola, NY 11501-4235 | 2019-09-08 |
| 1265081731 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1393 Veterans Memorial Hwy Ste 112n, Hauppauge, NY 11788-3066 | 2019-09-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PROGRESSIVE ORTHOTICS LTD.
| 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.