NPIMap

Organization Active NPI

Animate Pedorthics Orthotics & Prosthetics LLC

  • Durable Medical Equipment & Medical Supplies
  • Spring Valley, IL
National Provider Identifier
1013536622
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ANIMATE PEDORTHICS ORTHOTICS & PROSTHETICS LLC
Practice address
307 W Saint Paul St
Spring Valley, IL 61362-1860
Phone
(312) 315-6584
NPI assigned
Apr 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edgar Alexander Barrios, PEDORTHISTNPI 1386139145
Title
Owner/Ceo
Phone
(312) 315-6584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 222Z00000X
PedorthistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 224L00000X
Orthotic FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225000000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

307 W Saint Paul St
Spring Valley, IL 61362-1860

Mailing address

5512 S Washington St
Hinsdale, IL 60521-4914
Phone (312) 315-6584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200511001048 IL DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Pedorthic Personnel 3779914627 Practice locations: Spring Valley, IL

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1013536622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 S WASHINGTON ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214914",
            "telephone_number": "312-315-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W SAINT PAUL ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621860",
            "telephone_number": "312-315-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIMATE PEDORTHICS ORTHOTICS & PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "BARRIOS",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "312-315-6584",
        "authorized_official_credential": "PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.

Verify at the official NPI Registry.