ACTIVE ORTHOTICS & PROSTHETICS LLC NPI 1073904603

NPI Information

  • NPI: 1073904603
  • Provider Name: ACTIVE ORTHOTICS & PROSTHETICS, LLC
  • Classification: Pedorthist - 224L00000X
  • Entity Type: Organization
  • Address: 1333 S ALLEN ST
    STATE COLLEGE, PA
    ZIP 16801
  • Phone: (814) 231-0451

Map and Directions

Get Directions

NPI Details

ACTIVE ORTHOTICS & PROSTHETICS, LLC is a pedorthist in State College, PA. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. ACTIVE ORTHOTICS & PROSTHETICS, LLC NPI is 1073904603. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1333 S ALLEN ST
STATE COLLEGE, PA
ZIP 16801-944
Phone: (814) 231-0451
Fax: (814) 231-1817

The provider's authorized official is Christine Elizabeth Weikert .
The authorized official title is Owner and has the following contact phone number (814) 231-0451.

The enumeration date for this NPI number is 2/18/2015 and was last updated on 2/18/2015.

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
1224L00000XPedorthistPENNSYLVANIAYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI