Organization Active NPI

Strive Orthotics & Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Sterling Heights, MI
National Provider Identifier
1205370202
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
STRIVE ORTHOTICS & PROSTHETICS, LLC
Practice address
41400 Dequindre Rd
Suite 105
Sterling Heights, MI 48314-3763
Phone
(586) 803-4325
Fax
(586) 803-4326
NPI assigned
Dec 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Melissa Ismet, C.O.NPI 1689118671
Title
Owner
Phone
(757) 705-7061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

41400 Dequindre Rd
Suite 105
Sterling Heights, MI 48314-3763

Mailing address

41400 Dequindre Rd
Suite 105
Sterling Heights, MI 48314-3763
Phone (586) 803-4325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170508002652 MI DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 5092092650 Practice locations: Shelby Township, MI

National Provider Directory

National Provider Directory

Locations

50714 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 803-4325

41400 Dequindre Rd
Ste 105
Sterling Heights, MI 48314
Phone (586) 803-4325

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1205370202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE RD",
            "address_2": "SUITE 105",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143763",
            "telephone_number": "586-803-4325",
            "fax_number": "586-803-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE RD",
            "address_2": "SUITE 105",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143763",
            "telephone_number": "586-803-4325",
            "fax_number": "586-803-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIVE ORTHOTICS & PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "ISMET",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-705-7061",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.