Orthotic & Prosthetic Specialists, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHOTIC & PROSTHETIC SPECIALISTS, INC.

Practice address

10241 Coursey Blvd Ste C
Baton Rouge, LA 70816-0409

Phone

(225) 333-1893

Fax

(985) 867-8803

NPI assigned

Oct 31, 2019

Last updated

Apr 9, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

ORTHOTIC & PROSTHETIC SPECIALISTS, INCAs reported in NPPES

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

Authorized official

Name

Michael Stephen Relle, CPONPI 1407322357

Title

President

Phone

(985) 898-6319

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Orthotic & Prosthetic Specialists, Inc.

  • Prosthetic/Orthotic Supplier
  • Covington, LA
  • NPI 1437339710

  9032238431

  Same PAC ID

Tax ID family

Orthotic Prosthetic Specialists2 organizations share this tax ID, including this one

Part of

Orthotic Prosthetic Specialists

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orthotic & Prosthetic Specialists, Inc.

  • Prosthetic/Orthotic Supplier
  • Covington, LA
  • NPI 1437339710
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Orthotic & Prosthetic Specialists, Inc.

  • Prosthetic/Orthotic Supplier
  • Covington, LA
  • NPI 1437339710
  NPPES parent name

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.

• Michael Stephen Relle, CPO

  • Prosthetist
  • Covington, LA
  • NPI 1407322357

  Orthotist

  NPD (past) Authorized official

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1255975421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HIGHLAND PARK PLZ",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337128",
            "telephone_number": "985-898-6319",
            "fax_number": "985-867-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10241 COURSEY BLVD STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160409",
            "telephone_number": "225-333-1893",
            "fax_number": "985-867-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC & PROSTHETIC SPECIALISTS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOTIC & PROSTHETIC SPECIALISTS, INC",
        "enumeration_date": "2019-10-31",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "RELLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-898-6319",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1980391",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthobr LLC
• Orthodontics of Baton Rouge, LLC
• Orthopedic and Sports Medicine Services
• Orthopedic Care Center of Louisiana
• Orthotic & Prosthetic Solutions LLC
• Orthotic Specialties, LLC
• Nicolas Andres Ortiz Flores, MD
• Myriam Aracelis Ortiz-de Jesus', MD
• Ashley Olivia Ortiz
• Emily Marie Ortiz

• Prosthetic/Orthotic Supplier in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.