Active NPI
Center for Orthotics and Prosthetics Inc.
- Prosthetic/Orthotic Supplier
- Memphis, TN
National Provider Identifier
1124322300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- ORT000000015
- Legal business name
- CENTER FOR ORTHOTICS AND PROSTHETICS INC.
- Practice address
- 6655 Quince Rd
Suite 124
Memphis, TN 38119-8031 - Phone
- (901) 757-5461
- Fax
- (901) 757-0909
- NPI assigned
- Jan 3, 2011
- 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
- Jack Steele, C.O., L.P.O.
- Title
- President
- Phone
- (901) 270-5471
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | ORT000000015 | TN | Primary |
Addresses
Primary practice location
6655 Quince Rd
Suite 124
Memphis, TN 38119-8031
Mailing address
6655 Quince Rd
Suite 124
Memphis, TN 38119-8031
Phone (901) 757-5461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110506000131 | TN | DME Supplier - Orthotic Personnel | 4587849518 | Practice locations: Memphis, TN |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Memphis, TN
- NPI 1033536180
4587849518
-
- Prosthetic/Orthotic Supplier
- Columbus, MS
- NPI 1225403942
4587849518
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 |
|---|---|---|
| Center for Orthotics and Prosthetic | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Center for Orthotics and Prosthetics Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Memphis, TN
- NPI 1033536180
-
- Prosthetic/Orthotic Supplier
- Columbus, MS
- NPI 1225403942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305590400000",
"number": "1124322300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6655 QUINCE RD",
"address_2": "SUITE 124",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381198031",
"telephone_number": "901-757-5461",
"fax_number": "901-757-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 QUINCE RD",
"address_2": "SUITE 124",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381198031",
"telephone_number": "901-757-5461",
"fax_number": "901-757-0909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR ORTHOTICS AND PROSTHETICS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-03",
"last_updated": "2011-05-17",
"status": "A",
"authorized_official_last_name": "STEELE",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-270-5471",
"authorized_official_credential": "C.O., L.P.O."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TN",
"license": "ORT000000015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Cdatransportationservicesllc
- Keith Cecil
- Cedar Spring Home Care LLC
- Center for Oral and Facial Surgery
- Center for Orthotics and Prosthetics Inc.
- Center for Visual Independence
- Larry Eisenman Center, M.S. CCC-A
- Central Fabrication, Inc. (CFI Prosthetics-Orthotics)
- Central Health Buddies
- Central Memphis Regional Pet Imaging Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.