Philadelphia Orthotics and Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PHILADELPHIA ORTHOTICS AND PROSTHETICS, INC.

Practice address

709 Somerdale Road
Voorhees, NJ 08043-1313

Phone

(856) 428-4201

Fax

(856) 428-4204

NPI assigned

Oct 23, 2018

Organization subpart

No

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

Authorized official

Name

Mr. William Penney, CPO/LPO

Title

President/Owner

Phone

(856) 428-4201

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Philadelphia Orthotics and Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Philadelphia, PA
  • NPI 1194785741

  2365569878

  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

Philadelphia Orthotics and Prosthetics Inc2 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.

• Philadelphia Orthotics and Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Philadelphia, PA
  • NPI 1194785741
  NPD tax ID

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1194291575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 SOMERDALE ROAD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431313",
            "telephone_number": "856-428-4201",
            "fax_number": "856-428-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 SOMERDALE ROAD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431313",
            "telephone_number": "856-428-4201",
            "fax_number": "856-428-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA ORTHOTICS AND PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "PENNEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "856-428-4201",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO/LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3549500",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009100060002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Peyser, PA-C
• Jasmine Peyton
• Amrita A Phadnis, PA-C
• Vishal Phakey, D.O
• Hung Nhat Pham, DO
• Tony Joseph Philip, AU.D.
• Ashley Phillipson, DPM
• Patrick Allen Philpot, D.O.
• Phoenix Physical Medicine, P.C.
• Physical Solutions LLC

• Prosthetic/Orthotic Supplier in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Prosthetic/Orthotic Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.