NPIMap

Organization Active NPI

Donnelly Orthotic and Prosthetic Systems LLC

  • Prosthetic/Orthotic Supplier
  • New London, CT
National Provider Identifier
1245522085
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
DONNELLY ORTHOTIC AND PROSTHETIC SYSTEMS LLC
Practice address
27 Fair Harbour PL
New London, CT 06320-4710
Phone
(203) 605-1725
NPI assigned
May 12, 2011
Last updated
May 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Mr. Patrick Donnelly, CPONPI 1144302696
Title
Member
Phone
(203) 605-1725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

27 Fair Harbour PL
New London, CT 06320-4710

Mailing address

27 Fair Harbour PL
New London, CT 06320-4710
Phone (203) 605-1725

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1245522085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 FAIR HARBOUR PL",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204710",
            "telephone_number": "203-605-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 FAIR HARBOUR PL",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204710",
            "telephone_number": "203-605-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNELLY ORTHOTIC AND PROSTHETIC SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-605-1725",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.