Cpo Services, Inc
Organization Active NPI Prosthetic/Orthotic Supplier · Peru, IL
NPI 1639459415 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1639459415
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- License
- 211-000147 (IL)
- Legal business name
- CPO SERVICES, INC
- Practice address
- 1222 Shooting Park Rd
#104
Peru, IL 61354 - Phone
- (815) 220-5025
- Fax
- (888) 663-6322
- NPI assigned
- Aug 24, 2011
- Organization subpart
- No
Authorized official
- Name
- Amit Bhanti, CPO
- Title
- Ceo
- Phone
- (309) 676-2276
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 14
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Cpo Services, Inc |
Neuromuscular Elect Stimulators (NMES)/Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140128001634 | IL | DME Supplier - Orthotic Personnel |
0648471169 | Practice locations: Peru, IL |
National Provider Directory
- Tax ID family
- Cpo Services Inc
Locations
1222 Shooting Park Rd
Ste 104
Peru, IL 61354
Phone (815) 220-5025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 211-000147 | IL | Yes |
Addresses
Primary practice location
1222 Shooting Park Rd
#104
Peru, IL 61354
Mailing address
741 W Main St
Peoria, IL 61606-2017
Phone (309) 676-2276
Other names
- Comprehensive Prosthetics and Orthotics
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Other providers in Peru, IL
- Constantino Perales Jr., M.D.
- Tricia Marie Cook
- Amy Gail Corsolini
- James Miguel Covington
- Cpo Services, Inc
- Creating Change Counseling Center LLC
- Steven Tyler Cullen
- Thomas M Curry
- John M Curtin
- David J Coynik, MD,PC
All providers in Peru, IL · Prosthetic/Orthotic Supplier in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.