O & P Clinical Technologies, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

100 Issued in TN

Legal business name

O & P CLINICAL TECHNOLOGIES, INC.

Doing business as

Pinnacle Orthotic & Prosthetic Services

Practice address

5959 Shallowford Rd Ste 215
Chattanooga, TN 37421-2215

Phone

(423) 648-4898

Fax

(423) 499-4979

NPI assigned

Mar 21, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Paul E Prusakowski, LPO, CPO, FAAOP

Title

President/Ceo

Phone

(352) 331-4221

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Pinnacle Orthotic & Prosthetic Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James P Rogers, CPO

  • Specialist
  • Chattanooga, TN
  • NPI 1396870879
  NPD (past)

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1801195540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD STE 215",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212215",
            "telephone_number": "423-648-4898",
            "fax_number": "423-499-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD STE 215",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212215",
            "telephone_number": "423-648-4898",
            "fax_number": "423-499-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O & P CLINICAL TECHNOLOGIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "PRUSAKOWSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "352-331-4221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPO, CPO, FAAOP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "000053",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TN",
            "license": "121",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524374",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAGE",
            "identifier": "75VX6",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUNS",
            "identifier": "034877323",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Orthotic & Prosthetic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Nygard
• Tyler D Nygren, DC
• Bailey Elizabeth Nyquist
• Katherine Nyquist, SLP
• NZD Mobility Inc
• Paula H. O'Bear, APN
• Evy O'Brien
• Olivia O'Bryan
• Courtney O'Connell, DPT
• Sharon V O'Dell, R.N.

• Prosthetic/Orthotic Supplier in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.