Organization Active NPI

First Choice Orthotics and Prosthetics

  • Prosthetist
  • Clinton Township, MI
National Provider Identifier
1063881530
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
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

Updated by the provider on Sep 15, 2015

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)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.