Bionic Prosthetics and Orthotics Group LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC

Practice address

470 Lake Concord Rd NE
Concord, NC 28025-2965

Phone

(704) 794-6601

Fax

(704) 794-6670

NPI assigned

Dec 2, 2022

Organization subpart

No

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

Authorized official

Name

Sumesh Saxena

Title

Owner

Phone

(219) 791-9200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin C Horne, CPO

  • Prosthetist
  • Statesville, NC
  • NPI 1588856355
  NPD (past)
• Kayla Louise Watts, MSPO, CPO

  • Orthotist
  • Charlotte, NC
  • NPI 1518407402
  NPD (past)

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1609586452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 E LINCOLN HWY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105809",
            "telephone_number": "219-791-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 LAKE CONCORD RD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252965",
            "telephone_number": "704-794-6601",
            "fax_number": "704-794-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "SAXENA",
        "authorized_official_first_name": "SUMESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-791-9200"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bilingual Therapy by Design
• Bilingual Therapy by Design
• Richard H Billings, CRNA
• Jametta Karie Billy, LPCA
• Bio-Medical Applications of North Carolina, Inc.
• Candace Bishop, PA-C
• Kazandra Bishop, LMFTA
• Heather Lynn Bixby
• Ebony Bizzell
• BJ'S Wholesale Club Inc.

• Prosthetic/Orthotic Supplier in Concord, NC
• Providers in Concord, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.