Organization Active NPI

Streamline Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Saint Louis, MO
National Provider Identifier
1366626202
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
STREAMLINE ORTHOTICS, LLC
Practice address
615 S Vandeventer Ave
Saint Louis, MO 63110-1239
Phone
(314) 289-9100
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Timothy D Vogl, CONPI 1063696128
Title
President
Phone
(314) 368-9438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

615 S Vandeventer Ave
Saint Louis, MO 63110-1239

Mailing address

615 S Vandeventer Ave
Saint Louis, MO 63110-1239
Phone (314) 289-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930004553 MO DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 4486851342 Practice locations: Saint Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Streamline Orthotics LLC615 S Vandeventer Ave, Saint Louis, MO 63110-1239(314) 289-9100 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Feb 29, 2008

National Provider Directory

National Provider Directory

Locations

615 S Vandeventer Ave
Saint Louis, MO 63110
Phone (314) 289-9100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1366626202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S VANDEVENTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101239",
            "telephone_number": "314-289-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S VANDEVENTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101239",
            "telephone_number": "314-289-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREAMLINE ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "VOGL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-368-9438",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.