Active NPI
Arise Orthotics & Prosthetics, Inc.
- Prosthetic/Orthotic Supplier
- Spring Lake Park, MN
National Provider Identifier
1003351990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ARISE ORTHOTICS & PROSTHETICS, INC.
- Practice address
- 8338 Highway 65 NE
Suite E
Spring Lake Park, MN 55432-1364 - Phone
- (763) 755-9500
- Fax
- (763) 755-9510
- NPI assigned
- Dec 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Therese Kuffel
- Title
- Vice President
- Phone
- (763) 755-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
8338 Highway 65 NE
Suite E
Spring Lake Park, MN 55432-1364
Mailing address
8338 Highway 65 NE
Suite E
Spring Lake Park, MN 55432-1364
Phone (763) 755-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376627000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170522002506 | MN | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 9537364328 | Practice locations: Spring Lake Park, MN |
National Provider Directory
National Provider DirectoryLocations
1680 94th Ln NE
Blaine, MN 55449
Phone (763) 746-9524
11855 Ulysses St NE
Ste 230
Minneapolis, MN 55434
Phone (763) 755-9500
8338 Highway 65 NE
Ste E
Spring Lake Park, MN 55432
Phone (763) 755-9500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Spring Lake Park, MN
- NPI 1255061107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517443200000",
"number": "1003351990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8338 HIGHWAY 65 NE",
"address_2": "SUITE E",
"city": "SPRING LAKE PARK",
"state": "MN",
"postal_code": "554321364",
"telephone_number": "763-755-9500",
"fax_number": "763-755-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8338 HIGHWAY 65 NE",
"address_2": "SUITE E",
"city": "SPRING LAKE PARK",
"state": "MN",
"postal_code": "554321364",
"telephone_number": "763-755-9500",
"fax_number": "763-755-9510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARISE ORTHOTICS & PROSTHETICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-30",
"last_updated": "2018-02-01",
"status": "A",
"authorized_official_last_name": "KUFFEL",
"authorized_official_first_name": "THERESE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "763-755-9500"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376627000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring Lake Park, MN
- Addiction Recovery and Comprehensive Health Institute LLC
- Adinkra Hospice and Palliative Care LLC
- Advanced Spine Associates PA
- All About Smiles, Inc
- Ancora Healthcare LLC
- Arise Orthotics & Prosthetics, Inc.
- Martha R Arlandson, ED.S., NCSP
- Muath A Asamarai, D.D.S.
- Mujahid Abdulwahab Asamarai
- Kathleen June Bousu, RN IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.