Active NPI
Hartford Orthotics, LLC
- Prosthetic/Orthotic Supplier
- Cromwell, CT
National Provider Identifier
1710166863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 444102
- Legal business name
- HARTFORD ORTHOTICS, LLC
- Practice address
- 51 Shunpike Rd
Suite 41
Cromwell, CT 06416-2497 - Phone
- (860) 635-7653
- Fax
- (860) 635-2080
- NPI assigned
- Oct 25, 2007
- Last updated
- Jan 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wesley Skorski
- Title
- Owner
- Phone
- (860) 670-5874
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 444102 | CT | Primary |
Addresses
Primary practice location
51 Shunpike Rd
Suite 41
Cromwell, CT 06416-2497
Mailing address
2842 Main St
#212
Glastonbury, CT 06033
Phone (860) 670-5874
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004245511 | Medicaid | CT | |
| 12DME0838CT01 | Other | CT | ANTHEM |
| N292377 | Other | CT | WELLCARE |
| CW0774 | Other | CT | HEALTHNET |
National Provider Directory
National Provider DirectoryLocations
51 Shunpike Rd
Ste 41
Cromwell, CT 06416
Phone (860) 635-7653
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.
-
- Orthotist
- Cromwell, CT
- NPI 1497801666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389916800000",
"number": "1710166863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2842 MAIN ST",
"address_2": "#212",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "06033",
"telephone_number": "860-670-5874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 SHUNPIKE RD",
"address_2": "SUITE 41",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064162497",
"telephone_number": "860-635-7653",
"fax_number": "860-635-2080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARTFORD ORTHOTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-25",
"last_updated": "2014-01-17",
"status": "A",
"authorized_official_last_name": "SKORSKI",
"authorized_official_first_name": "WESLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-670-5874"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CT",
"license": "444102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004245511",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "12DME0838CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "N292377",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "CW0774",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.