Active NPI
Pisani's Orthotics and Prosthetics, Inc.
- Prosthetic/Orthotic Supplier
- Palm Springs, FL
National Provider Identifier
1194896993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- POR 106
- Legal business name
- PISANI'S ORTHOTICS AND PROSTHETICS, INC.
- Practice address
- 3208 2ND Ave N
Suite 5
Palm Springs, FL 33461-3682 - Phone
- (561) 433-1556
- Fax
- (561) 433-5298
- NPI assigned
- Nov 13, 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. Anthony M Pisani, LOP
- Title
- President
- Phone
- (561) 433-1556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | POR 106 | FL | Primary |
Addresses
Primary practice location
3208 2ND Ave N
Suite 5
Palm Springs, FL 33461-3682
Mailing address
3208 2ND Ave N
Suite 5
Palm Springs, FL 33461-3682
Phone (561) 433-1556
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205649 | Other | FL | AMERIGROUP |
| 64688 | Other | FL | APB |
| 950785000 | Medicaid | FL | |
| M2498 | Other | FL | BLUE CROSS BLUE SHIELD |
| 104516 | Other | FL | AVMED |
| M2100 | Other | FL | BLUE CROSS BLUE SHIELD |
| 51148 | Other | FL | ABP |
| 7165406 | Other | FL | AETNA |
| SG027999 | Other | FL | VISTA MEDICARE |
| 168999 | Other | FL | HEALTHEASE |
| 820076 | Other | FL | PCA |
| A101300 | Other | FL | PHYSICIANS HEALTH CARE |
National Provider Directory
National Provider DirectoryLocations
3208 2nd Ave N
Ste 5
Palm Springs, FL 33461
Phone (561) 433-1556
3199 Lake Worth Rd
Ste A
Palm Springs, FL 33461
Phone (561) 439-1510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364860800000",
"number": "1194896993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3208 2ND AVE N",
"address_2": "SUITE 5",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334613682",
"telephone_number": "561-433-1556",
"fax_number": "561-433-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3208 2ND AVE N",
"address_2": "SUITE 5",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334613682",
"telephone_number": "561-433-1556",
"fax_number": "561-433-5298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PISANI'S ORTHOTICS AND PROSTHETICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2013-04-02",
"status": "A",
"authorized_official_last_name": "PISANI",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-433-1556",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LOP"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "FL",
"license": "POR 106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "205649",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APB",
"identifier": "64688",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "950785000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "M2498",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "104516",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "M2100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABP",
"identifier": "51148",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7165406",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA MEDICARE",
"identifier": "SG027999",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE",
"identifier": "168999",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PCA",
"identifier": "820076",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH CARE",
"identifier": "A101300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.