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ACTRA REHABILITATION ASSOCIATES INC NPI 1760467823


NPI Information

NPI: 1760467823
Provider Name: ACTRA REHABILITATION ASSOCIATES INC

Doing Business As: NOVACARE PROSTHETICS & ORTHOTICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
10700 W BURLEIGH ST
MILWAUKEE, WI
ZIP 53222
Phone: (414) 778-4500
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ACTRA REHABILITATION ASSOCIATES INC is a prosthetic orthotic supplier in Milwaukee, WI. 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. ACTRA REHABILITATION ASSOCIATES INC NPI is 1760467823. The provider is registered as an organization entity type.
The provider Is Doing Business As Novacare Prosthetics & Orthotics.

The provider's business location address is:

10700 W BURLEIGH ST
MILWAUKEE, WI
ZIP 53222-310
Phone: (414) 778-4500
Fax: (414) 259-9465

The provider's authorized official is Michael E Tarvin .
The authorized official title is Vp & Secretary and has the following contact phone number (717) 972-1100.

The enumeration date for this NPI number is 12/13/2005 and was last updated on 10/22/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
141790500MEDICAIDWISCONSIN

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: 11/14/2023

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