NUTMEG ORTHOTICS AND PROSTHETICS LLC NPI 1558798355

NPI Information

  • NPI: 1558798355
  • Provider Name: NUTMEG ORTHOTICS AND PROSTHETICS LLC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 85 BARNES RD STE 302
    WALLINGFORD, CT
    ZIP 06492
  • Phone: (860) 488-1062

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NPI Details

NUTMEG ORTHOTICS AND PROSTHETICS LLC is a prosthetic orthotic supplier in Wallingford, CT. 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. NUTMEG ORTHOTICS AND PROSTHETICS LLC NPI is 1558798355. The provider is registered as an organization entity type.

The provider's business location address is:

85 BARNES RD STE 302
WALLINGFORD, CT
ZIP 06492-832
Phone: (860) 488-1062

The provider's authorized official is Jennifer L Manouse .
The authorized official title is Member and has the following contact phone number (860) 488-1062.

The enumeration date for this NPI number is 10/11/2013 and was last updated on 3/24/2015.

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
1335E00000XProsthetic/Orthotic SupplierYes

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
17046370001MEDICARE NSCCONNECTICUT

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: 11/21/2025

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