Organization Active NPI

Rockford Orthopedic Appliance Co

  • Durable Medical Equipment & Medical Supplies
  • Rockford, IL
National Provider Identifier
1043337660
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ROCKFORD ORTHOPEDIC APPLIANCE CO
Practice address
422 E State St
Rockford, IL 61104-1015
Phone
(815) 965-7759
Fax
(815) 965-9466
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Mrs. Jorene Lynne McFarland
Title
Office Manager
Phone
(815) 965-7759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IL Primary

Addresses

Primary practice location

422 E State St
Rockford, IL 61104-1015

Mailing address

422 E State St
Rockford, IL 61104-1015
Phone (815) 965-7759

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930050807 IL DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Certified Orth/Pros/Pedorthist 1456478791 Practice locations: Rockford, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rockford Orthopedic Appliance Co422 E State St, Rockford, IL 61104-1015(815) 965-7759 Commodes, Urinals, Bedpans|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb P… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

422 E State St
Rockford, IL 61104
Phone (815) 965-7759

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1043337660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041015",
            "telephone_number": "815-965-7759",
            "fax_number": "815-965-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041015",
            "telephone_number": "815-965-7759",
            "fax_number": "815-965-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD ORTHOPEDIC APPLIANCE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "JORENE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-965-7759",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.