Organization Active NPI

Reichert Prosthetics & Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Libertyville, IL
National Provider Identifier
1376897140
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
REICHERT PROSTHETICS & ORTHOTICS, LLC
Practice address
708 Florsheim Dr
Suite 13
Libertyville, IL 60048-5001
Phone
(847) 549-3464
Fax
(847) 549-3393
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Mrs. Janice M Dupont
Title
Office Manager
Phone
(262) 654-4300

Specialties & licenses 1

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

Addresses

Primary practice location

708 Florsheim Dr
Suite 13
Libertyville, IL 60048-5001

Mailing address

5027 Green Bay Rd
Suite 124
Kenosha, WI 53144-1771
Phone (262) 654-4300

National Provider Directory

National Provider Directory

Locations

708 Florsheim Dr
Ste 13
Libertyville, IL 60048
Phone (847) 549-3464

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1376897140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 GREEN BAY RD",
            "address_2": "SUITE 124",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441771",
            "telephone_number": "262-654-4300",
            "fax_number": "262-654-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 FLORSHEIM DR",
            "address_2": "SUITE 13",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485001",
            "telephone_number": "847-549-3464",
            "fax_number": "847-549-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REICHERT PROSTHETICS & ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "DUPONT",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-654-4300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

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