Organization Active NPI

Prosthetic and Orthotic Care LLC

Doing business as P & O Care

  • Prosthetic/Orthotic Supplier
  • Saint Louis, MO
National Provider Identifier
1659535854
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROSTHETIC AND ORTHOTIC CARE LLC
Doing business as
P & O Care
Practice address
1084 Old Des Peres Rd
Saint Louis, MO 63131-1865
Phone
(314) 775-2041
Fax
(314) 775-2045
NPI assigned
Jul 16, 2008
Organization subpart
Yes
Parent organization
PROSTHETIC AND ORTHOTIC CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Mr. James Joseph Weber
Title
Chief Executive Officer
Phone
(314) 775-2041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1084 Old Des Peres Rd
Saint Louis, MO 63131-1865

Mailing address

1084 Old Des Peres Rd
Saint Louis, MO 63131-1865
Phone (314) 775-2041

Other identifiers 1

IdentifierTypeStateIssuer
625748603MedicaidMO

Other names 1

  • P & O Care Doing business as

National Provider Directory

National Provider Directory
Part of
Prosthetic and Orthotic Care LLC

Locations

1479 US Highway 61
Ste D
Crystal Cty, MO 63028
Phone (636) 232-2982

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1659535854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 OLD DES PERES RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311865",
            "telephone_number": "314-775-2041",
            "fax_number": "314-775-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 OLD DES PERES RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311865",
            "telephone_number": "314-775-2041",
            "fax_number": "314-775-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC AND ORTHOTIC CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROSTHETIC AND ORTHOTIC CARE LLC",
        "enumeration_date": "2008-07-16",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "314-775-2041",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "625748603",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P & O Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "P & O Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.