Organization Active NPI

Tko Orthotics and Prosthetics

  • Pedorthist
  • Minneola, FL
National Provider Identifier
1215420914
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
PED235 Issued in FL
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

Updated by the provider on Jun 7, 2018

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)CodeLicenseStatePrimary
PedorthistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.