Organization Active NPI

Bader Prosthetics Orthotics

  • Orthotist
  • Tampa, FL
National Provider Identifier
1194765081
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
POR53 Issued in FL
Legal business name
BADER PROSTHETICS ORTHOTICS
Practice address
13711 N Dale Mabry Hwy
Tampa, FL 33618
Phone
(813) 962-6100
Fax
(813) 961-0247
NPI assigned
Jun 7, 2006
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. Wade Bader, CPO
Title
Owner Practitioner
Phone
(813) 962-6100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X POR53 FL Primary
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X POR53 FL

Addresses

Primary practice location

13711 N Dale Mabry Hwy
Tampa, FL 33618

Mailing address

13711 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 962-6100

Other identifiers 1

IdentifierTypeStateIssuer
M2130OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

13711 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 374-4619

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1194765081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13711 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33618",
            "telephone_number": "813-962-6100",
            "fax_number": "813-961-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13711 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33618",
            "telephone_number": "813-962-6100",
            "fax_number": "813-961-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADER PROSTHETICS ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BADER",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "OWNER PRACTITIONER",
        "authorized_official_telephone_number": "813-962-6100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "FL",
            "license": "POR53",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "FL",
            "license": "POR53",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M2130",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.