Organization Active NPI

Abc Prosthetics and Orthotics DP Ocoee Inc

  • Prosthetic/Orthotic Supplier
  • Ocoee, FL
National Provider Identifier
1710969324
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
POR41 Issued in FL
Legal business name
ABC PROSTHETICS AND ORTHOTICS DP OCOEE INC
Practice address
10131 W Colonial Dr
Unit 1
Ocoee, FL 34761-4221
Phone
(407) 523-0495
Fax
(407) 522-5078
NPI assigned
Nov 18, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wendy M Harrigan
Title
Billing Manger
Phone
(407) 341-5873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X POR41 FL Primary

Addresses

Primary practice location

10131 W Colonial Dr
Unit 1
Ocoee, FL 34761-4221

Mailing address

10131 W Colonial Dr
Unit 1
Ocoee, FL 34761-4221
Phone (407) 523-0495

Other identifiers 1

IdentifierTypeStateIssuer
M2591OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

10131 W Colonial Dr
Ste 1
Ocoee, FL 34761
Phone (407) 447-9596

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710969324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 W COLONIAL DR",
            "address_2": "UNIT 1",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614221",
            "telephone_number": "407-523-0495",
            "fax_number": "407-522-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 W COLONIAL DR",
            "address_2": "UNIT 1",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614221",
            "telephone_number": "407-523-0495",
            "fax_number": "407-522-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PROSTHETICS AND ORTHOTICS DP OCOEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIGAN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANGER",
        "authorized_official_telephone_number": "407-341-5873"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR41",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M2591",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • 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.