NPIMap

Organization Active NPI

Mary Free Bed Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Grand Rapids, MI
National Provider Identifier
1265397186
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MARY FREE BED ORTHOTICS AND PROSTHETICS
Practice address
4020 E Beltline Ave NE Ste 102
Grand Rapids, MI 49525-9324
Phone
(616) 840-8007
Fax
(616) 840-9602
NPI assigned
Dec 23, 2025
Organization subpart
Yes
Parent organization
MARY FREE BED ORTHOTICS AND PROSTHETICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Sandra G Baker
Title
Revenue Cycle Lead, Contract Coord.
Phone
(616) 840-8552

Specialties & licenses 1

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

Addresses

Primary practice location

4020 E Beltline Ave NE Ste 102
Grand Rapids, MI 49525-9324

Mailing address

235 Wealthy St SE Ste 1100
Grand Rapids, MI 49503-5247
Phone (616) 840-8007

National Provider Directory

National Provider Directory
Tax ID family
Mary Free Bedbrace and13 organizations share this tax ID, including this one
Part of
Mary Free Bedbrace and

Other organizations with this tax ID 12

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

Locations

4020 E Beltline Ave NE
Ste 102
Grand Rapids, MI 49525
Phone (616) 840-8007

NPI Registry JSON

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1265397186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WEALTHY ST SE STE 1100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035247",
            "telephone_number": "616-840-8007",
            "fax_number": "616-840-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 E BELTLINE AVE NE STE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259324",
            "telephone_number": "616-840-8007",
            "fax_number": "616-840-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY FREE BED ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARY FREE BED ORTHOTICS AND PROSTHETICS",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "REVENUE CYCLE LEAD, CONTRACT COORD.",
        "authorized_official_telephone_number": "616-840-8552"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.