Orthotic and Prosthetic Clinics of America

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHOTIC AND PROSTHETIC CLINICS OF AMERICA

Practice address

4809 Memorial Highway
Suite 100
Tampa, FL 33634

Phone

(888) 424-1620

Fax

(203) 782-4966

NPI assigned

Jul 2, 2021

Last updated

Jul 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edward Nicholas Kaufman, CPO, RN

Title

Owner / President

Phone

(203) 777-2396

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1578134359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 CHAPEL STREET",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-777-2396",
            "fax_number": "203-782-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 MEMORIAL HIGHWAY",
            "address_2": "SUITE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33634",
            "telephone_number": "888-424-1620",
            "fax_number": "203-782-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC AND PROSTHETIC CLINICS OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "203-777-2396",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, RN"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopedic Assoc of Tampa Bay LLC
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• Orthotic & Prosthetic Centers, Inc. (Orthotic Prosthetic Center of Tampa)
• Orthotic and Prosthetic Clinics of America
• Evelyn Ortiz Bacallao
• Lourdes Mercedes Ortiz Badger, LPCC
• Beatriz Ortiz Bauza
• Migdalia Ortiz Iovino, NP

• Prosthetic/Orthotic Supplier in Tampa, FL
• Providers in Tampa, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.