Organization Active NPI

Prosthetic & Orthotic Solutions, LLC.

  • Prosthetic/Orthotic Supplier
  • Bloomfield, CT
National Provider Identifier
1396231189
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROSTHETIC & ORTHOTIC SOLUTIONS, LLC.
Practice address
45 Wintonbury Ave Ste 311
Bloomfield, CT 06002-2470
Phone
(860) 904-2419
Fax
(413) 785-4048
NPI assigned
Jul 5, 2018
Organization subpart
Yes
Parent organization
PROSTHETIC & ORTHOTIC SOLUTIONS, LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Authorized official

Name
Audrey Edith Moore
Title
Office Manager
Phone
(413) 785-4047

Specialties & licenses 2

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

Addresses

Primary practice location

45 Wintonbury Ave Ste 311
Bloomfield, CT 06002-2470

Mailing address

66 Myron St
West Springfield, MA 01089-1416
Phone (413) 785-4047

National Provider Directory

National Provider Directory
Tax ID family
Prosthetic Orthotic Solutions LLC3 organizations share this tax ID, including this one
Part of
Prosthetic Orthotic Solutions LLC

Other organizations with this tax ID 2

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

Locations

45 Wintonbury Ave
Ste 311
Bloomfield, CT 06002
Phone (860) 904-2419

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1396231189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MYRON ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891416",
            "telephone_number": "413-785-4047",
            "fax_number": "413-785-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WINTONBURY AVE STE 311",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022470",
            "telephone_number": "860-904-2419",
            "fax_number": "413-785-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC & ORTHOTIC SOLUTIONS, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROSTHETIC & ORTHOTIC SOLUTIONS, LLC.",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "EDITH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "413-785-4047"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.