Maine Orthotic and Prosthetic Rehab Services Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MAINE ORTHOTIC AND PROSTHETIC REHAB SERVICES INC

Practice address

300 Park Ave
Portland, ME 04102-2914

Phone

(207) 773-8818

Fax

(207) 773-1204

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth E Perkins, C.O., P.T.

Title

President

Phone

(207) 773-8818

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1194856435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PARK AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022914",
            "telephone_number": "207-773-8818",
            "fax_number": "207-773-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PARK AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022914",
            "telephone_number": "207-773-8818",
            "fax_number": "207-773-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE ORTHOTIC AND PROSTHETIC REHAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-773-8818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O., P.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115790000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maine Multilingual Services LLC
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• Maine Nephrology Associates P.a.
• Maine Orthopaedic Center, PA
• Maine Pediatric Surgical Associates
• Maine Pretrial Services, Inc.
• Maine Prosthodontics
• Maine Resource Development Corp
• Maine Resource Development Corporation

• Prosthetic/Orthotic Supplier in Portland, ME
• Providers in Portland, ME by specialty
• Prosthetic/Orthotic Supplier in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.