NPIMap

Organization Active NPI

Walklots Prosthetics Orthotics Center

  • Prosthetic/Orthotic Supplier
  • Wausau, WI
National Provider Identifier
1851021380
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
WALKLOTS PROSTHETICS ORTHOTICS CENTER
Practice address
935 S 17TH Ave
Wausau, WI 54401-5740
Phone
(715) 849-8703
NPI assigned
Jun 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Joseph Domini
Title
Owner
Phone
(715) 849-8703

Specialties & licenses 1

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

Addresses

Primary practice location

935 S 17TH Ave
Wausau, WI 54401-5740

Mailing address

1815 Stewart Ave
Wausau, WI 54401-5373
Phone (715) 849-8703

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1851021380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 STEWART AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015373",
            "telephone_number": "715-849-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 S 17TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015740",
            "telephone_number": "715-849-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKLOTS PROSTHETICS ORTHOTICS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "DOMINI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-849-8703"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.