Central Orthotics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

5306004871 Issued in MI

Legal business name

CENTRAL ORTHOTICS LLC

Practice address

431 Front St
Republic, MI 49879-9100

Phone

(906) 376-8000

Fax

(616) 884-8119

NPI assigned

Feb 15, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon Richard Tapio, BOCONPI 1336683358

Title

Orthotist/Owner

Phone

(906) 376-8000

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jon Richard Tapio, BOC ORTHOTIST

  • Orthotist
  • Republic, MI
  • NPI 1336683358
  NPD (past) Authorized official

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1053811174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 FRONT ST",
            "city": "REPUBLIC",
            "state": "MI",
            "postal_code": "498799100",
            "telephone_number": "906-376-8000",
            "fax_number": "616-884-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 FRONT ST",
            "city": "REPUBLIC",
            "state": "MI",
            "postal_code": "498799100",
            "telephone_number": "906-376-8000",
            "fax_number": "616-884-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "TAPIO",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "ORTHOTIST/OWNER",
        "authorized_official_telephone_number": "906-376-8000",
        "authorized_official_credential": "BOCO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "5306004871",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": "BOCS60682",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336683358",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Fleis, LLPC
• Jon Richard Tapio, BOC ORTHOTIST
• Town of Republic

• Prosthetic/Orthotic Supplier in Republic, MI
• Providers in Republic, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.