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CENTRAL ORTHOTICS LLC NPI 1053811174


NPI Information

NPI: 1053811174
Provider Name: CENTRAL ORTHOTICS LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
431 FRONT ST
REPUBLIC, MI
ZIP 49879
Phone: (906) 376-8000
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CENTRAL ORTHOTICS LLC is a prosthetic orthotic supplier in Republic, MI. The provider is 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. CENTRAL ORTHOTICS LLC NPI is 1053811174. The provider is registered as an organization entity type.

The provider's business location address is:

431 FRONT ST
REPUBLIC, MI
ZIP 49879-100
Phone: (906) 376-8000
Fax: (616) 884-8119

The provider's authorized official is Jon Richard Tapio .
The authorized official title is Orthotist/owner and has the following contact phone number (906) 376-8000.

The enumeration date for this NPI number is 2/15/2018 and was last updated on 6/16/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierBOCS60682No
2335E00000XProsthetic/Orthotic SupplierNo
3335E00000XProsthetic/Orthotic Supplier5306004871MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11336683358OTHERNPI

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: 5/5/2024

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