HANGER PROSTHETICS & ORTHOTIC INC (NPI# 1952830838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952830838 |
| Entity Type | Organization |
| Organization Name | HANGER PROSTHETICS & ORTHOTIC INC |
| Other Organization Name | HANGER CLINIC |
| Practice Address |
200 Southpark Blvd Ste 209 St Augustine FL 32086-3129 |
| Mailing Address |
Po Box 650846 Dallas TX 75265-0846 |
| Practice Telephone | 9042014360 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-08-29 |
| Authorized Official Name | GRACE ANGELINE (REG COMPLIANCE SPECIALIST III) |
| Authorized Official Telephone | 7149612102 |
| Is Organization Subpart | Y |
| Parent Organization Name | HANGER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Hanger Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801120175 | Hanger Prosthetics & Orthotic Inc | Durable Medical Equipment & Medical Supplies | 50 Post Office Rd Ste 301, Waldorf, MD 20602-3704 | 2009-09-19 |
| 1356579387 | Hanger Prosthetics & Orthotic Inc | Durable Medical Equipment & Medical Supplies | 805 Hatcher Ln, Columbia, TN 38401-3523 | 2009-06-29 |
| 1235367210 | Hanger Prosthetics & Orthotic Inc | Durable Medical Equipment & Medical Supplies | 5651 Frist Blvd Ste 503, Hermitage, TN 37076-2059 | 2009-06-29 |
| 1831264696 | Hanger Prosthetics & Orthotic Inc | Durable Medical Equipment & Medical Supplies | 995 Prince Frederick Blvd Ste 109, Prince Frederick, MD 20678-3199 | 2006-11-21 |
| 1821162975 | Hanger Prosthetics & Orthotic Inc | Durable Medical Equipment & Medical Supplies | 5210 3rd St Ne Ste B, Washington, DC 20011-6380 | 2006-11-20 |
| 1346245065 | Hanger Prosthetics & Orthotic Inc | Durable Medical Equipment & Medical Supplies | 2785 E 3300 S, Salt Lake City, UT 84109-2818 | 2005-06-17 |
| 1447488465 | Hanger Prosthetics & Orthotic Inc | Durable Medical Equipment & Medical Supplies | 314 S Main St, Estill Springs, TN 37330-4042 | 2009-06-29 |
| 1053578153 | Hanger Prosthetics & Orthotic Inc | Durable Medical Equipment & Medical Supplies | 1823 Charlotte Ave, Nashville, TN 37203-2104 | 2008-05-18 |
| Street Address |
200 SOUTHPARK BLVD STE 209 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| 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 |
|---|---|---|---|---|
| 1386772762 | Deborah E Baker | Prosthetic/Orthotic Supplier | 3400 Us 1 South, Suite B, St Augustine, FL 32086-6347 | 2007-02-28 |
| 1609897750 | Well Heeled Inc | Prosthetic/Orthotic Supplier | 1972 Us Highway 1 S, St Augustine, FL 32086-4233 | 2006-07-22 |
| 1093746497 | Florida O & P Services Inc | Prosthetic/Orthotic Supplier | 1797 Old Moultrie Rd, Suite 110, St Augustine, FL 32084-4171 | 2006-07-05 |
| 1083747513 | Jsc Pedorthics | Prosthetic/Orthotic Supplier | 2600 Us Highway 1 S, Suite6, St Augustine, FL 32086-6199 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120192 | Solaris Ortho, LLC | Prosthetic/Orthotic Supplier | 1112 W Shell Point Rd Ste 304, Ruskin, FL 33570-3400 | 2020-09-24 |
| 1467068635 | Laquavian Eliacin | Prosthetic/Orthotic Supplier | 1738 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5467 | 2020-09-22 |
| 1831705805 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 5453 N 59th St, Tampa, FL 33610-2011 | 2020-09-16 |
| 1790397875 | Gessy Rigaud | Prosthetic/Orthotic Supplier | 5100 Sw 41st St Apt 115, Hollywood, FL 33023-6988 | 2020-08-19 |
| 1609486737 | Beauty Vault Lux LLC. | Prosthetic/Orthotic Supplier | 5100 Sw 41st St, Hollywood, FL 33023-6948 | 2020-08-04 |
| 1003424680 | Spartan Capital Investments | Prosthetic/Orthotic Supplier | 1621 E Edgewood Dr Ste B, Lakeland, FL 33803-3365 | 2020-07-20 |
| 1518583012 | Ts&a Medical Supply LLC | Prosthetic/Orthotic Supplier | 13555 Automobile Blvd Ste 650, Clearwater, FL 33762-3854 | 2020-06-19 |
| 1962027128 | Qbc Durable Medical Equipment | Prosthetic/Orthotic Supplier | 931 Village Blvd # 256, West Palm Beach, FL 33409-1803 | 2020-06-13 |
| 1083239891 | K.n. Medical Wigs Inc | Prosthetic/Orthotic Supplier | 651 E Main St Ste I, Haines City, FL 33844-4240 | 2020-06-08 |
| 1730703851 | Mahnke's Orthotics & Prosthetics of Deerfield Inc | Prosthetic/Orthotic Supplier | 4208 N 31st Ave Ste 2, Hollywood, FL 33021-2002 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on HANGER PROSTHETICS & ORTHOTIC INC.
| 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.