SRT Prosthetics & Orthotics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SRT PROSTHETICS & ORTHOTICS LLC

Practice address

6475 Washington St.
Suite 100
Gurnee, IL 60031

Phone

(847) 855-0030

Fax

(419) 633-3961

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Leslie Siebenaler

Title

Director of Operations

Phone

(866) 633-3961

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1851409932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E WASHINGTON ST",
            "city": "BUTLER",
            "state": "IN",
            "postal_code": "467211179",
            "telephone_number": "419-633-3961",
            "fax_number": "419-633-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 WASHINGTON ST.",
            "address_2": "SUITE 100",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "847-855-0030",
            "fax_number": "419-633-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRT PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "SIEBENALER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "866-633-3961"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Spanier-Stiasny, DO
• Speech Like Me Therapy, PLLC
• Harry Lee Speer, NCC
• Spring View Imaging Center
• Corinne Alexis Springer, LPC
• Lisa M Stanuch, PT, DPT
• Robert Theodore Stanuch, DDS
• Starcare Home Health Inc.
• Mark Joseph Starczynski
• Keith Stec, P.T.

• Prosthetic/Orthotic Supplier in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.