Specularis Medical, Inc.

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

SPECULARIS MEDICAL, INC.

Practice address

2467 Gratia PL
Casselberry, FL 32707-2420

Phone

(314) 717-3436

NPI assigned

Jun 28, 2024

Organization subpart

No

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

Authorized official

Name

Ashlie Ott

Title

VP Claims Operations

Phone

(314) 717-3436

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1508601667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630111028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2467 GRATIA PL",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327072420",
            "telephone_number": "314-717-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECULARIS MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "ASHLIE",
        "authorized_official_title_or_position": "VP CLAIMS OPERATIONS",
        "authorized_official_telephone_number": "314-717-3436"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soul Flourish Counseling LLC
• South Point Medical Supply LLC
• Jennifer Sparks
• Specialized Treatment, Education and Prevention Services Inc.
• Specialty Imaging Services Inc
• Ieshia Spencer, RBT
• Spine Sport & All Facets of Rehab Center Inc
• Sally Springman, RN
• St Philopater LLC (Best Care Pharmacy)
• Emmanuelle St Preux

• Prosthetics Case Management in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Prosthetics Case Management in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.