Stride Prosthetics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

STRIDE PROSTHETICS LLC

Practice address

6319 E US Highway 36 Ste 203
Avon, IN 46123-6210

Phone

(317) 526-4700

Fax

(888) 508-6271

NPI assigned

Mar 23, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Wheeler, BOCP, LP

Title

Ceo

Phone

(606) 585-4996

Specialties & licenses 1

Addresses

Other names 1

• STRIDE PROSTHETICS Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Stride Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Flatwoods, KY
  • NPI 1508593997

  6103192398

  Same PAC ID
• Stride Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Pueblo, CO
  • NPI 1790381994

  6103192398

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Stride Prosthetics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Stride Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Flatwoods, KY
  • NPI 1508593997
  NPD tax ID
• Stride Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Pueblo, CO
  • NPI 1790381994
  NPD tax ID

Locations

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1346771029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 611",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411390611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 E US HIGHWAY 36 STE 203",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236210",
            "telephone_number": "317-526-4700",
            "fax_number": "888-508-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDE PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2023-07-18",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-585-4996",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BOCP, LP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STRIDE PROSTHETICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STRIDE PROSTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven J Svabek DO PC
• Lynda R Stewart, LCSW
• Sarah Anne Stewart, PA-C
• Kevin Stockton, D.M.D.
• Peyton Stokes Sutton, LMHCA
• Dionne Angelene Strong
• Olivia Noelle Strube
• Richard L Sudsberry
• Ronald S Suh, M.D.
• Casey Sullivan, NP

• Prosthetic/Orthotic Supplier in Avon, IN
• Providers in Avon, IN by specialty
• Prosthetic/Orthotic Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.