Individual provider Active NPI

Jeremy Farley, CPO, LPO

  • Prosthetist
  • Hilliard, OH
National Provider Identifier
1407093859
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
LPO306 Issued in OH
Practice address
3455 Mill Run Drive
Suite 310
Hilliard, OH 43085
Phone
(855) 694-5462
NPI assigned
Jan 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X
Orthotic Fitter 225000000X
Orthotist 222Z00000X LPO306 OH
Prosthetist 224P00000X LPO306 OH Primary

Addresses

Primary practice location

3455 Mill Run Drive
Suite 310
Hilliard, OH 43085

Mailing address

3455 Mill Run Drive
Suite 310
Hilliard, OH 43085

Other identifiers 1

IdentifierTypeStateIssuer
CP 3518OtherAMERICAN BOARD OF CERTIFICATION IN PROSTHETIC AND ORTHOTICS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPO306OHMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1407093859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 MILL RUN DRIVE",
            "address_2": "SUITE 310",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "43085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 MILL RUN DRIVE",
            "address_2": "SUITE 310",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "43085",
            "telephone_number": "855-694-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "JEREMY",
        "name_prefix": "Mr.",
        "credential": "CPO, LPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-07",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "OH",
            "license": "LPO306",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "OH",
            "license": "LPO306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF CERTIFICATION IN PROSTHETIC AND ORTHOTICS",
            "identifier": "CP 3518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.