NPIMap

Organization Active NPI

Ortho Rehab Designs Prosthetics and Orthotics, Inc.

Doing business as Ortho Rehab Designs

  • Prosthetic/Orthotic Supplier
  • Las Vegas, NV
National Provider Identifier
1285821637
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
MP00102 Issued in NV
Legal business name
ORTHO REHAB DESIGNS PROSTHETICS AND ORTHOTICS, INC.
Doing business as
Ortho Rehab Designs
Practice address
2578 Belcastro St
Suite 101
Las Vegas, NV 89117-3067
Phone
(702) 388-9909
Fax
(702) 388-9929
NPI assigned
Oct 1, 2007
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Mr. Mitchell S. Warner, CPONPI 1568465326
Title
Owner/President
Phone
(702) 388-9909

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 MP00102 NV Primary

Addresses

Primary practice location

2578 Belcastro St
Suite 101
Las Vegas, NV 89117-3067

Mailing address

2578 Belcastro St
Suite 101
Las Vegas, NV 89117-3067
Phone (702) 388-9909

Other identifiers 1

IdentifierTypeStateIssuer
003302062MedicaidNV

Other names 1

  • Ortho Rehab Designs Doing business as

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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1285821637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2578 BELCASTRO ST",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173067",
            "telephone_number": "702-388-9909",
            "fax_number": "702-388-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 BELCASTRO ST",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173067",
            "telephone_number": "702-388-9909",
            "fax_number": "702-388-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO REHAB DESIGNS PROSTHETICS AND ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "702-388-9909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NV",
            "license": "MP00102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003302062",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ortho Rehab Designs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.