Organization Active NPI

Innovative Orthotics and Prosthetics of la, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Kenner, LA
National Provider Identifier
1154399814
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INNOVATIVE ORTHOTICS AND PROSTHETICS OF LA, INC.
Practice address
720 Williams Blvd
Kenner, LA 70062-7638
Phone
(504) 464-5577
Fax
(504) 464-5677
NPI assigned
Mar 9, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. William S Layman, BOCPO, CPO
Title
Certified Prosthetist/Orthotist/
Phone
(504) 464-5577

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

720 Williams Blvd
Kenner, LA 70062-7638

Mailing address

720 Williams Blvd
Kenner, LA 70062-7638
Phone (504) 464-5577

Other identifiers 1

IdentifierTypeStateIssuer
1979481MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930064844 LA DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 5496874166 Practice locations: Kenner, LA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Innovative Ortho & Prosththics of720 Williams Blvd, Kenner, LA 70062-7638(504) 464-5577 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

720 Williams Blvd
Kenner, LA 70062
Phone (504) 464-5577

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1154399814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700627638",
            "telephone_number": "504-464-5577",
            "fax_number": "504-464-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700627638",
            "telephone_number": "504-464-5577",
            "fax_number": "504-464-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE ORTHOTICS AND PROSTHETICS OF LA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LAYMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CERTIFIED PROSTHETIST/ORTHOTIST/",
        "authorized_official_telephone_number": "504-464-5577",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BOCPO, CPO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1979481",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.