Active NPI
Sound Limbs Orthotics, Inc.
- Orthotist
- Lewiston, ME
National Provider Identifier
1073508412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Legal business name
- SOUND LIMBS ORTHOTICS, INC.
- Doing business as
- Sound Limbs Orthotics & Prosthetics
- Practice address
- 39 S Lisbon Rd
Lewiston, ME 04240-1404 - Phone
- (207) 784-4345
- Fax
- (207) 783-9496
- NPI assigned
- Sep 13, 2005
- 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. Roger D Park Jr., C.O.
- Title
- President
- Phone
- (207) 784-4345
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | Primary | ||
| Prosthetist | 224P00000X | |||
| Orthotic Fitter | 225000000X |
Addresses
Primary practice location
39 S Lisbon Rd
Lewiston, ME 04240-1404
Mailing address
39 S Lisbon Rd
Lewiston, ME 04240-1404
Phone (207) 784-4345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126940000 | Medicaid | ME |
Other names 1
- Sound Limbs Orthotics & Prosthetics
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256601600000",
"number": "1073508412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 S LISBON RD",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042401404",
"telephone_number": "207-784-4345",
"fax_number": "207-783-9496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 S LISBON RD",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042401404",
"telephone_number": "207-784-4345",
"fax_number": "207-783-9496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUND LIMBS ORTHOTICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-13",
"last_updated": "2009-10-27",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-784-4345",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "C.O."
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126940000",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sound Limbs Orthotics & Prosthetics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.