Teter Orthotics & Prosthetics, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

TETER ORTHOTICS & PROSTHETICS, INC

Practice address

4024 Park East CT SE Ste B
Grand Rapids, MI 49546-8810

Phone

(616) 949-4050

Fax

(616) 949-4051

NPI assigned

Jun 7, 2006

Organization subpart

Yes

Parent organization

HANGER INCAs reported in NPPES

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

Authorized official

Name

Grace Angeline

Title

Reg Compliance Specialist III

Phone

(714) 961-2102

Specialties & licenses 2

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hanger Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Gainesville, GA
  • NPI 1659443380

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225078298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 PARK EAST CT SE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468810",
            "telephone_number": "616-949-4050",
            "fax_number": "616-949-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETER ORTHOTICS & PROSTHETICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "REG COMPLIANCE SPECIALIST III",
        "authorized_official_telephone_number": "714-961-2102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4951722",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Terzano
• Yordanos Tesfahanes
• Michelle Teshome, OTR/L
• Mara Jenae Teske
• Teter Orthotics & Prosthetics Inc
• Bradley Tetlow, RPH
• Nancy J Teunessen, LMSW
• Gwenda Teunis
• Jamie Teunissen
• Lisa Marie Teunissen, NP

• Prosthetic/Orthotic Supplier in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.