Total Body Orthotics Center, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TOTAL BODY ORTHOTICS CENTER, INC.

Practice address

5437 Mahoning Ave
Suite 5
Austintown, OH 44515-2437

Phone

(330) 793-8205

Fax

(330) 793-8357

NPI assigned

Jul 14, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Boris Vaks

Title

President

Phone

(330) 793-8205

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1154585651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 MAHONING AVE",
            "address_2": "SUITE 5",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152437",
            "telephone_number": "330-793-8205",
            "fax_number": "330-793-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 MAHONING AVE",
            "address_2": "SUITE 5",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152437",
            "telephone_number": "330-793-8205",
            "fax_number": "330-793-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY ORTHOTICS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "VAKS",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-793-8205",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.