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BADER PROSTHETICS ORTHOTICS NPI 1194765081


NPI Information

NPI: 1194765081
Provider Name: BADER PROSTHETICS ORTHOTICS
Classification: Orthotist - 222Z00000X
Entity Type: Organization
Address:
13711 N DALE MABRY HWY
TAMPA, FL
ZIP 33618
Phone: (813) 962-6100
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BADER PROSTHETICS ORTHOTICS is an orthotist in Tampa, FL. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. BADER PROSTHETICS ORTHOTICS NPI is 1194765081. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13711 N DALE MABRY HWY
TAMPA, FL
ZIP 33618
Phone: (813) 962-6100
Fax: (813) 961-0247

The provider's authorized official is Wade Bader .
The authorized official title is Owner Practitioner and has the following contact phone number (813) 962-6100.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1222Z00000XOrthotistPOR53FLORIDAYes
2224P00000XProsthetistPOR53FLORIDAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M2130OTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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