Active NPI
Tko Orthotics and Prosthetics
- Pedorthist
- Minneola, FL
National Provider Identifier
1215420914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- License
- PED235
- Legal business name
- TKO ORTHOTICS AND PROSTHETICS
- Practice address
- 200 E Washington St Unit B
Minneola, FL 34715-9209 - Phone
- (352) 242-0599
- Fax
- (352) 242-0599
- NPI assigned
- Jun 7, 2018
- 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
- Dwayne James Helm
- Title
- President
- Phone
- (352) 242-7723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pedorthist | 224L00000X | PED235 | FL | Primary |
Addresses
Primary practice location
200 E Washington St Unit B
Minneola, FL 34715-9209
Mailing address
200 E Washington St Unit B
Minneola, FL 34715-9209
Phone (352) 242-0599
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pedorthist
- Minneola, FL
- NPI 1033652789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528329600000",
"number": "1215420914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E WASHINGTON ST UNIT B",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347159209",
"telephone_number": "352-242-0599",
"fax_number": "352-242-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E WASHINGTON ST UNIT B",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347159209",
"telephone_number": "352-242-0599",
"fax_number": "352-242-0599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TKO ORTHOTICS AND PROSTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-07",
"last_updated": "2018-06-07",
"status": "A",
"authorized_official_last_name": "HELM",
"authorized_official_first_name": "DWAYNE",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-242-7723"
},
"taxonomies": [
{
"code": "224L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pedorthist",
"state": "FL",
"license": "PED235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.