Active NPI
O&P Associates of Charlotte Cty Inc.
- Prosthetic/Orthotic Supplier
- Port Charlotte, FL
National Provider Identifier
1093930919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- POR105
- Legal business name
- O&P ASSOCIATES OF CHARLOTTE CTY INC.
- Practice address
- 21216 Olean Blvd Ste 1
Port Charlotte, FL 33952-6722 - Phone
- (941) 629-9689
- Fax
- (941) 629-9693
- NPI assigned
- Apr 16, 2007
- Last updated
- Dec 1, 2008
- 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. John G Martin, LCPO
- Title
- Manager
- Phone
- (941) 629-9689
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | POR105 | FL | Primary |
Addresses
Primary practice location
21216 Olean Blvd Ste 1
Port Charlotte, FL 33952-6722
Mailing address
21216 Olean Blvd Ste 1
Port Charlotte, FL 33952-6722
Phone (941) 629-9689
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO8454429 | Other | FL | MEDICARE SUBMITTER ID |
National Provider Directory
National Provider DirectoryLocations
21216 Olean Blvd
Ste 1
Port Charlotte, FL 33952
Phone (941) 629-4777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228089600000",
"number": "1093930919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21216 OLEAN BLVD STE 1",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526722",
"telephone_number": "941-629-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21216 OLEAN BLVD STE 1",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526722",
"telephone_number": "941-629-9689",
"fax_number": "941-629-9693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O&P ASSOCIATES OF CHARLOTTE CTY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2008-12-01",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "941-629-9689",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "FL",
"license": "POR105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SUBMITTER ID",
"identifier": "CO8454429",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.