Michael Stephen Relle, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

101 Highland Park PLZ
Covington, LA 70433-7128

Phone

(985) 898-6319

Fax

(985) 867-8803

NPI assigned

Oct 18, 2018

Last updated

Oct 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthotic & Prosthetic Specialists, Inc.

  • Prosthetic/Orthotic Supplier
  • Baton Rouge, LA
  • NPI 1255975421

  Orthotist

  NPD (past) Authorized official
• Orthotic & Prosthetic Specialists, Inc.

  • Prosthetic/Orthotic Supplier
  • Covington, LA
  • NPI 1437339710
  Authorized official Same address or phone

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1407322357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HIGHLAND PARK PLZ",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337128",
            "telephone_number": "985-898-6319",
            "fax_number": "985-867-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HIGHLAND PARK PLZ",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337128",
            "telephone_number": "985-898-6319",
            "fax_number": "985-867-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELLE",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, AND PEDORTHOTICS",
            "identifier": "CPO2891",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rehab Dynamics, LLC
• Jennifer Reiling
• Rachel Reina, M.D.
• Pamela Reitan, LMSW
• Taylor Reitz, LCSW
• Remed Recovery Care Centers of Louisiana LLC
• Renal Treatment Centers-Southeast, LP. (Dialysis Systems of Covington)
• Renew Physical Therapy, LLC
• Renewal and Restoration, LLC (Renewal and Restoration, LLC Therapeutic and Counseling Services)
• Lorenzo Resendez Jr.

• Prosthetist in Covington, LA
• Providers in Covington, LA by specialty
• Prosthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.