Innovative Orthotics and Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

INNOVATIVE ORTHOTICS AND PROSTHETICS

Practice address

6218 S Lewis Ave
Ste 125
Tulsa, OK 74136-1018

Phone

(918) 745-2260

Fax

(918) 745-2271

NPI assigned

Jan 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Brest, C.O. C.PED

Title

Orthotist/ President

Phone

(918) 745-2260

Specialties & licenses 1

Addresses

Locations

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.

• Mark Chimento, CP, LPO

  • Prosthetic/Orthotic Supplier
  • Broken Arrow, OK
  • NPI 1497883391
  NPD

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336128313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6218 S LEWIS AVE",
            "address_2": "STE 125",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361018",
            "telephone_number": "918-745-2260",
            "fax_number": "918-745-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6218 S LEWIS AVE",
            "address_2": "STE 125",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361018",
            "telephone_number": "918-745-2260",
            "fax_number": "918-745-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ORTHOTIST/ PRESIDENT",
        "authorized_official_telephone_number": "918-745-2260",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O.  C.PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Inman
• Lori Inman
• Inner Knowing Health LLC
• Innovations Family Wellness
• Innovative Neurophysiologics LLC
• Inside Out Chiropractic LLC
• Inside Out Counseling & Consultation, PLLC
• Insight Psychological Services
• Inspire Med Spa Tulsa
• Inspired 2 Empower, LLC

• Prosthetic/Orthotic Supplier in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Prosthetic/Orthotic Supplier in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.