Active NPI
Biocorrect, LLC
- Prosthetic/Orthotic Supplier
- Kentwood, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 2605
- Legal business name
- BIOCORRECT, LLC
- Practice address
- 5147 East Paris Ave SE
Suite 21
Kentwood, MI 49512-5457 - Phone
- (616) 356-5030
- Fax
- (616) 656-5442
- NPI assigned
- May 20, 2010
- Last updated
- Oct 26, 2021
- 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
- Richard Leaver
- Title
- Ceo
- Phone
- (616) 356-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 2605 | MI | Primary |
Addresses
Primary practice location
5147 East Paris Ave SE
Suite 21
Kentwood, MI 49512-5457
Mailing address
625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140626001208 | MI | DME Supplier - Pedorthic Personnel | 7911122494 | Practice locations: Kentwood, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Biocorrect LLC | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Armor Physical Therapy
- Physical Therapist
- Holland, MI
- NPI 1649216144
Member Of
Locations
5147 East Paris Ave SE
Ste 21
Kentwood, MI 49512
Phone (616) 356-5030
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Physical Therapist
- Troy, MI
- NPI 1801994355
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1467480533
-
- Pedorthist
- Kentwood, MI
- NPI 1871987958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635206400000",
"number": "1083933717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 KENMOOR AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462395",
"telephone_number": "616-356-5000",
"fax_number": "616-356-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5147 EAST PARIS AVE SE",
"address_2": "SUITE 21",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495125457",
"telephone_number": "616-356-5030",
"fax_number": "616-656-5442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOCORRECT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-20",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A",
"authorized_official_last_name": "LEAVER",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "616-356-5000"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "MI",
"license": "2605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kentwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.