Orthotic Prosthetic Center, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

LP.55 Issued in OH

Legal business name

ORTHOTIC PROSTHETIC CENTER, INC

Practice address

419 N Reynolds Rd
Toledo, OH 43615

Phone

(419) 531-2222

Fax

(419) 531-2359

NPI assigned

Jun 24, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Ann M Cole

Title

Owner

Phone

(419) 531-2222

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Orthotic Prosthetic Center, Inc

  • Prosthetic/Orthotic Supplier
  • Bowling Green, OH
  • NPI 1063891273

  3577689181

  Same PAC ID
• Orthotic Prosthetic Center, Inc

  • Prosthetic/Orthotic Supplier
  • Oregon, OH
  • NPI 1366821571

  3577689181

  Same PAC ID

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

Tax ID family

Orthotic Prosthetic Ctr2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orthotic Prosthetic Center, Inc

  • Prosthetic/Orthotic Supplier
  • Bowling Green, OH
  • NPI 1063891273
  NPD tax ID

Locations

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1174529937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43615",
            "telephone_number": "419-531-2222",
            "fax_number": "419-531-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43615",
            "telephone_number": "419-531-2222",
            "fax_number": "419-531-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC PROSTHETIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-531-2222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "LO.56",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "LP.55",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "CO003462",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "CP002589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "10209",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000155767",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0848300",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Orner
• Aaron M Orqvist, MD
• Janet Orr
• Katie Orten
• Orthopaedic Institute of Ohio, Inc
• Mario Ortiz, LSW
• Nhu Ortiz, FNP-C
• Oryn Haven LLC
• Mark Raymond Orzechowski
• Nicholas Osberger

• Prosthetic/Orthotic Supplier in Toledo, OH
• Providers in Toledo, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.