Organization Active NPI

Life in Motion Orthotic & Prosthetic Center, Inc.

  • Prosthetic/Orthotic Supplier
  • Dodge City, KS
National Provider Identifier
1427427913
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LIFE IN MOTION ORTHOTIC & PROSTHETIC CENTER, INC.
Practice address
2601 Central Ave Ste 22
Dodge City, KS 67801-2606
Phone
(620) 225-0113
Fax
(620) 225-0102
NPI assigned
Sep 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Authorized official

Name
Mr. Michael A Rolle, ABC /BOC/BS
Title
President
Phone
(316) 640-7267

Specialties & licenses 1

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

Addresses

Primary practice location

2601 Central Ave Ste 22
Dodge City, KS 67801-2606

Mailing address

2601 Central Ave Ste 22
Dodge City, KS 67801-2606
Phone (620) 225-0113

National Provider Directory

National Provider Directory

Locations

4425 W Zoo Blvd
Ste 1
Wichita, KS 67212

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1427427913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CENTRAL AVE STE 22",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012606",
            "telephone_number": "620-225-0113",
            "fax_number": "620-225-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CENTRAL AVE STE 22",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012606",
            "telephone_number": "620-225-0113",
            "fax_number": "620-225-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IN MOTION ORTHOTIC & PROSTHETIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "ROLLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-640-7267",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABC /BOC/BS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.