Orthotic & Prosthetic Services Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

LPO202 Issued in OH

Legal business name

ORTHOTIC & PROSTHETIC SERVICES INC

Practice address

283 E Reagan Pkwy
Medina, OH 44256-1298

Phone

(330) 723-6679

Fax

(330) 722-7727

NPI assigned

Aug 3, 2006

Last updated

Apr 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Proctor, C.P.O./L.P.O.

Title

President/Practitioner

Phone

(330) 723-6679

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1811905276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 E REAGAN PKWY",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561298",
            "telephone_number": "330-723-6679",
            "fax_number": "330-722-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 E REAGAN PKWY",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561298",
            "telephone_number": "330-723-6679",
            "fax_number": "330-722-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC & PROSTHETIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT/PRACTITIONER",
        "authorized_official_telephone_number": "330-723-6679",
        "authorized_official_credential": "C.P.O./L.P.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "LPO202",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "LPO202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0297816",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Onebridge Support Services, LLC
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• Paige Oppman
• Danielle Lee Origlio
• Orthotic & Prosthetic Services Inc
• Francisco Ortiz, P.A.
• Kelly A Osborne, MSN, ACNS-BC
• Rachel Joy Osterland, LMT
• Courtney Michelle Ott, LISW-S
• Kelly A Oxford, LMT

• Prosthetic/Orthotic Supplier in Medina, OH
• Providers in Medina, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.