Innovative Orthotics & Prosthetics, LLC

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

POR188 Issued in FL

Legal business name

INNOVATIVE ORTHOTICS & PROSTHETICS, LLC

Practice address

537 US Highway 1
Suite 6
North Palm Beach, FL 33408-4903

Phone

(561) 296-2000

Fax

(561) 296-9912

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Andrew D Domb, CPONPI 1134220734

Title

Owner

Phone

(561) 296-2000

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Douglas Domb, CPO

  • Prosthetist
  • North Palm Beach, FL
  • NPI 1134220734

  Orthotist

  NPD (past) Authorized official

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1306043625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 US HIGHWAY 1",
            "address_2": "SUITE 6",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084903",
            "telephone_number": "561-296-2000",
            "fax_number": "561-296-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 US HIGHWAY 1",
            "address_2": "SUITE 6",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084903",
            "telephone_number": "561-296-2000",
            "fax_number": "561-296-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE ORTHOTICS & PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "DOMB",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-296-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "FL",
            "license": "POR188",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "FL",
            "license": "POR188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032644500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "M2829",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine of Palm Beach LLC
• Ira G Warshaw Mdpa
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• Prosthetist in North Palm Beach, FL
• Providers in North Palm Beach, FL by specialty
• Prosthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.