NPIMap

Center for Orthotic & Prosthetic Excellence, LLC

Organization Active NPI Prosthetic/Orthotic Supplier · Crown Point, IN

NPI 1497583348 · NPPES record last updated Sep 24, 2024

Key facts

NPI
1497583348
Entity type
Organization (NPI type 2)
Primary specialty
Prosthetic/Orthotic Supplier 335E00000X
Legal business name
CENTER FOR ORTHOTIC & PROSTHETIC EXCELLENCE, LLC
Practice address
11065 Broadway Ste F
Crown Point, IN 46307-7302
Phone
(219) 365-0248
Fax
(219) 365-0072
NPI assigned
Jul 23, 2024
Organization subpart
No

Authorized official

Name
Kendra F Mickelson
Title
Manager of Revenue Cycle Management
Phone
(309) 285-7752

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Cpo Services Inc (15 organizations share this tax ID)

Locations

11065 Broadway
Ste F
Crown Point, IN 46307
Phone (219) 365-0248

Specialties & licenses

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

Addresses

Primary practice location

11065 Broadway Ste F
Crown Point, IN 46307-7302

Mailing address

741 W Main St
Peoria, IL 61606-1953
Phone (309) 285-7752

Other names

  • Center for Orthotic & Prosthetic Excellence, LLC Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Other providers in Crown Point, IN

All providers in Crown Point, IN · Prosthetic/Orthotic Supplier in Indiana

Sources for this page

Verify at the official NPI Registry.