NPIMap

Organization Active NPI

Presque Isle Orthotics and Prosthetics of Ohio, LLC

Doing business as Presque Isle Medical Technologies

  • Prosthetic/Orthotic Supplier
  • Silver Spring, MD
National Provider Identifier
1669713467
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC
Doing business as
Presque Isle Medical Technologies
Practice address
718 Horton Dr
Silver Spring, MD 20902-3009
Phone
(301) 681-8658
Fax
(866) 536-2954
NPI assigned
Mar 5, 2013
Last updated
May 10, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Solomon HeifetzNPI 1780544916
Title
Director of Operations
Phone
(301) 681-8658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

718 Horton Dr
Silver Spring, MD 20902-3009

Mailing address

2101 Richmond Rd Ste 1000
Beachwood, OH 44122-1390
Phone (216) 371-0660

Other names 1

  • Presque Isle Medical Technologies Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Presque Isle Orthotics and Prosthetics of Ohio LLC3 organizations share this tax ID, including this one
Part of
Presque Isle Orthotics and Prosthetics of Ohio LLC

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1669713467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 RICHMOND RD STE 1000",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221390",
            "telephone_number": "216-371-0660",
            "fax_number": "866-536-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 HORTON DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023009",
            "telephone_number": "301-681-8658",
            "fax_number": "866-536-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC",
        "enumeration_date": "2013-03-05",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "HEIFETZ",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "301-681-8658"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presque Isle Medical Technologies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.