Mobile Orthotic & Prosthetic Services

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MOBILE ORTHOTIC & PROSTHETIC SERVICES

Practice address

429 Salem St
Bridgeport, CT 06606-4684

Phone

(914) 720-3321

NPI assigned

Nov 28, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Grady G Lewin, BOCP., CFO

Title

Member

Phone

(914) 720-3321

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1497090641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 SALEM ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064684",
            "telephone_number": "914-720-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 SALEM ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064684",
            "telephone_number": "914-720-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ORTHOTIC & PROSTHETIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "LEWIN",
        "authorized_official_first_name": "GRADY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "914-720-3321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BOCP., CFO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Mitchell, MD
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• Ingrid E Mody, PA-C
• Oak Gar Moe
• Andrea Teresa Moenkemoeller

• Prosthetic/Orthotic Supplier in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Prosthetic/Orthotic Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.