Prosthetic and Orthotic Specialists of Connecticut

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIC AND ORTHOTIC SPECIALISTS OF CONNECTICUT

Practice address

638 Silas Deane Hwy
Wethersfield, CT 06109-3053

Phone

(860) 716-9628

Fax

(860) 352-2124

NPI assigned

May 1, 2024

Organization subpart

No

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

Authorized official

Name

James Miller, BOCO

Title

Owner, Orthotist

Phone

(860) 716-9628

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1780431437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PINE ACRES DR",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192157",
            "telephone_number": "860-716-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093053",
            "telephone_number": "860-716-9628",
            "fax_number": "860-352-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC AND ORTHOTIC SPECIALISTS OF CONNECTICUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER, ORTHOTIST",
        "authorized_official_telephone_number": "860-716-9628",
        "authorized_official_credential": "BOCO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Prosthetic/Orthotic Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.