Active NPI
Philadelphia Orthotics and Prosthetics, Inc.
- Prosthetic/Orthotic Supplier
- Philadelphia, PA
National Provider Identifier
1194785741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- PHILADELPHIA ORTHOTICS AND PROSTHETICS, INC.
- Practice address
- 301 S 8TH St
Ste B2
Philadelphia, PA 19106-4000 - Phone
- (215) 829-5733
- Fax
- (215) 829-5772
- NPI assigned
- Mar 27, 2006
- Organization subpart
- No
NPPES NPI Registry
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
- (215) 829-5733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
301 S 8TH St
Ste B2
Philadelphia, PA 19106-4000
Mailing address
301 S 8TH St
Ste B2
Philadelphia, PA 19106-4000
Phone (215) 829-5733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930037549 | PA | DME Supplier - Orthotic Personnel | 2365569878 | Practice locations: Philadelphia, PA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Voorhees, NJ
- NPI 1194291575
2365569878
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Philadelphia Orthotics & Prosthetic | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Philadelphia Orthotics and Prosthetics Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Voorhees, NJ
- NPI 1194291575
Locations
301 S 8th St
Ste B2
Philadelphia, PA 19106
Phone (215) 829-5733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581033600000",
"number": "1194785741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S 8TH ST",
"address_2": "STE B2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064000",
"telephone_number": "215-829-5733",
"fax_number": "215-829-5772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S 8TH ST",
"address_2": "STE B2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064000",
"telephone_number": "215-829-5733",
"fax_number": "215-829-5772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILADELPHIA ORTHOTICS AND PROSTHETICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-27",
"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": "215-829-5733",
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Philadelphia Nutrition and Wellness, LLC
- Philadelphia Nutrition Center, LLC
- Philadelphia Oral and Maxillofacial Surgery, PLLC
- Philadelphia Orthodontics, PC
- Philadelphia Orthopaedic Associates Inc.
- Philadelphia Pain and Neurology Institute, LLC
- Philadelphia Pain Practice
- Philadelphia Pharmacy Inc
- Philadelphia Post Acute Partners, LLC
- Philadelphia Post Acute Partners, LLC
Sources for this page
- 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.