Custom Orthopedic Inc

Primary specialty

OrthotistTaxonomy code 222Z00000X

Legal business name

CUSTOM ORTHOPEDIC INC

Practice address

1271 Tallevast Rd
Sarasota, FL 34243-3268

Phone

(941) 355-0337

Fax

(941) 355-0616

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl Dease

Title

President

Phone

(941) 355-0337

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1659427870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 TALLEVAST RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342433268",
            "telephone_number": "941-355-0337",
            "fax_number": "941-355-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 TALLEVAST RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342433268",
            "telephone_number": "941-355-0337",
            "fax_number": "941-355-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM ORTHOPEDIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "DEASE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-355-0337",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard A. Curtis, M.D.
• Sarah Curtis, DNP, APRN, FNP-BC
• Luann Cusic, LMHC
• Jessica Dodd Custer
• Custom Home Care, LLC
• Peter M Cuviello
• CW Dental, Inc
• Nicole Cwiertniewicz
• Cynthia a Bailey PH D P a
• Cynthia Drew Arnp LLC (Apple A Day Health)

• Orthotist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Orthotist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.