Innovative Prosthetics & Orthotics of Grand Island, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

INNOVATIVE PROSTHETICS & ORTHOTICS OF GRAND ISLAND, LLC

Practice address

1213 Allen Dr
Grand Island, NE 68803-3333

Phone

(308) 675-1508

Fax

(308) 675-1509

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Rakesh Srivastava

Title

Owner

Phone

(402) 461-4931

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1548545585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 ALLEN DR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033333",
            "telephone_number": "308-675-1508",
            "fax_number": "308-675-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 ALLEN DR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033333",
            "telephone_number": "308-675-1508",
            "fax_number": "308-675-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PROSTHETICS & ORTHOTICS OF GRAND ISLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-461-4931"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elpidionestor Tabutol Iloreta, MD
• Linda Ingebretsen
• Donna Ingold
• Tonya Sue Ingram, LMHP
• Jesica Iniguez Jauregui
• Inpatient Physician Associates Grand Island LLC
• Inspire Chiropractic, LLC
• Integrated Therapy of Grand Island LLC
• Internal Medical Associates of Grand Island, P. C.
• Claude Iradukunda

• Prosthetic/Orthotic Supplier in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Prosthetic/Orthotic Supplier in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.