Organization Active NPI

O&P Associates of Charlotte Cty Inc.

  • Prosthetic/Orthotic Supplier
  • Port Charlotte, FL
National Provider Identifier
1093930919
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
POR105 Issued in FL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CO8454429OtherFLMEDICARE SUBMITTER ID

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.