Avry's Orthotic Facility Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

LO-00003 Issued in OH

Legal business name

AVRY'S ORTHOTIC FACILITY INC.

Practice address

1441 Wick Ave
Youngstown, OH 44505-2777

Phone

(330) 746-5385

Fax

(330) 757-6089

NPI assigned

Feb 26, 2007

Last updated

Aug 22, 2020By 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. Steven Alan Albani, C.O.

Title

President

Phone

(330) 746-5385

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Avry's Orthotic Facility Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Avry's Orthotic Facility, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Poland, OH
  • NPI 1275521841
  NPD tax ID

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659407229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11206",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445110206",
            "telephone_number": "330-746-5385",
            "fax_number": "330-757-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WICK AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052777",
            "telephone_number": "330-746-5385",
            "fax_number": "330-757-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVRY'S ORTHOTIC FACILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBANI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-746-5385",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "LO-00003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170836",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.