Organization Active NPI

Sound Limbs Orthotics, Inc.

  • Orthotist
  • Lewiston, ME
National Provider Identifier
1073508412
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
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

Updated by the provider on Oct 27, 2009

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)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X Primary
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X
Orthotic FitterGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
126940000MedicaidME

Other names 1

  • Sound Limbs Orthotics & Prosthetics Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.