Active NPI
First Choice Orthotics and Prosthetics
- Prosthetist
- Clinton Township, MI
National Provider Identifier
1063881530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Legal business name
- FIRST CHOICE ORTHOTICS AND PROSTHETICS
- Practice address
- 19189 15 Mile Rd
Clinton Township, MI 48035-2508 - Phone
- (866) 925-2696
- Fax
- (586) 439-0183
- NPI assigned
- Sep 15, 2015
- 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
- Mr. Charles Williams, CPO
- Title
- Orthotic Prosthetic Practitioner
- Phone
- (313) 424-3032
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
19189 15 Mile Rd
Clinton Township, MI 48035-2508
Mailing address
30161 N Park Dr
Apt 104
Chesterfield, MI 48047-1398
Phone (313) 424-3032
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442275200000",
"number": "1063881530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30161 N PARK DR",
"address_2": "APT 104",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480471398",
"telephone_number": "313-424-3032",
"fax_number": "586-439-0183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19189 15 MILE RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480352508",
"telephone_number": "866-925-2696",
"fax_number": "586-439-0183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CHOICE ORTHOTICS AND PROSTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-15",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "ORTHOTIC PROSTHETIC PRACTITIONER",
"authorized_official_telephone_number": "313-424-3032",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.