Advance Orthotics & Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ADVANCE ORTHOTICS & PROSTHETICS

Practice address

510 22ND Ave E
Ste 801
Alexandria, MN 56308-4653

Phone

(320) 762-2210

Fax

(320) 762-2753

NPI assigned

Jan 8, 2008

Last updated

Apr 26, 2013By 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

Mr. David Michael Ellis, CPONPI 1720274129

Title

Chief Manager/Practitioner

Phone

(320) 762-2210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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.

• David Michael Ellis, CPO

  • Prosthetist
  • Alexandria, MN
  • NPI 1720274129

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1083899041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 22ND AVE E",
            "address_2": "STE 801",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084653",
            "telephone_number": "320-762-2210",
            "fax_number": "320-762-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 22ND AVE E",
            "address_2": "STE 801",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084653",
            "telephone_number": "320-762-2210",
            "fax_number": "320-762-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF MANAGER/PRACTITIONER",
        "authorized_official_telephone_number": "320-762-2210",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Achieve Chiropractic and Wellness, PA (Achieve Wellness)
• Activecare Chiropractic
• Sara Adams
• Nicole M Addison, CNP
• Breanna Adelman, SLP
• Advanced Eyecare of Minnesota P.a.
• Advantage Rehab Inc
• Kaylyn Ahrendt, LICSW
• Ellen Grace Aigner
• Isam M Alakhras, MD

• Prosthetic/Orthotic Supplier in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Prosthetic/Orthotic Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.