Nutmeg Orthotics and Prosthetics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO2372 Issued in CT

Legal business name

NUTMEG ORTHOTICS AND PROSTHETICS LLC

Practice address

85 Barnes Rd
Suite 302
Wallingford, CT 06492-1832

Phone

(203) 678-4627

Fax

(203) 678-4628

NPI assigned

May 22, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer L Manouse

Title

Member

Phone

(860) 355-2443

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1831578913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 ASPETUCK AVE",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762825",
            "telephone_number": "860-355-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BARNES RD",
            "address_2": "SUITE 302",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921832",
            "telephone_number": "203-678-4627",
            "fax_number": "203-678-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTMEG ORTHOTICS AND PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "MANOUSE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-355-2443"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CT",
            "license": "CPO2372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loverlie Noveno, PT
• Lara Nicole Novinski, LCSW
• Joshua David Noyes, PT
• Nube Faith and Wellness PLLC
• Nutmeg Orthotics and Prosthetics LLC
• Damien Joseph Nuzzo, PMNHP-BC, APRN
• John William O'Brien, M.D.
• Margaret Ann O'Hagan-Lynch, LPC
• Sarah Obremski
• Occupational Health Centers of the Southwest, P.a., P.C. (Concentra Medical Center)

• Prosthetic/Orthotic Supplier in Wallingford, CT
• Providers in Wallingford, 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 22, 2015; 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.