New Step Orthotic Lab, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

212.000142 Issued in IL

Legal business name

NEW STEP ORTHOTIC LAB, INC

Practice address

4225 S State Route 159
Ste 1
Glen Carbon, IL 62034-3231

Phone

(618) 288-9297

NPI assigned

Mar 5, 2009

Last updated

Apr 9, 2009By 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. Joshua C Allison, C-PEDNPI 1740304153

Title

Pres/Sec

Phone

(618) 288-9297

Specialties & licenses 1

Addresses

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.

• Joshua C Allison, C-PED

  • Prosthetic/Orthotic Supplier
  • Glen Carbon, IL
  • NPI 1740304153
  NPD (past) Authorized official

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1396985297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 S STATE ROUTE 159",
            "address_2": "STE 1",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343231",
            "telephone_number": "618-288-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 S STATE ROUTE 159",
            "address_2": "STE 1",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343231",
            "telephone_number": "618-288-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW STEP ORTHOTIC LAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRES/SEC",
        "authorized_official_telephone_number": "618-288-9297",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C-PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "212.000142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.