Organization Active NPI

Pisani's Orthotics and Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Palm Springs, FL
National Provider Identifier
1194896993
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
POR 106 Issued in FL
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

Updated by the provider on Apr 2, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
205649OtherFLAMERIGROUP
64688OtherFLAPB
950785000MedicaidFL
M2498OtherFLBLUE CROSS BLUE SHIELD
104516OtherFLAVMED
M2100OtherFLBLUE CROSS BLUE SHIELD
51148OtherFLABP
7165406OtherFLAETNA
SG027999OtherFLVISTA MEDICARE
168999OtherFLHEALTHEASE
820076OtherFLPCA
A101300OtherFLPHYSICIANS HEALTH CARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.