Earthwalk Orthotics Acquisition Company LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EARTHWALK ORTHOTICS ACQUISITION COMPANY LLC

Doing business as

Earthwalk Orthotics

Practice address

500 Vista Ave SE
Massillon, OH 44646

Phone

(888) 492-8393

Fax

(330) 837-6550

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Brigham Hughes Wilson

Title

President

Phone

(330) 837-6569

Specialties & licenses 1

Addresses

Other names 1

• Earthwalk Orthotics Doing business as

Locations

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1881851475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VISTA AVE SE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "44646",
            "telephone_number": "888-492-8393",
            "fax_number": "330-837-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VISTA AVE SE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "44646",
            "telephone_number": "888-492-8393",
            "fax_number": "330-837-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTHWALK ORTHOTICS ACQUISITION COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRIGHAM",
        "authorized_official_middle_name": "HUGHES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-837-6569",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Earthwalk Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle A Duplain, PA
• Michelle Dusenberry, CNP
• Dynamic Support Management
• Cody Dzoch
• Caredia D Earley
• Sandra Sue Eash
• Madison Marie Eatherton, PHARMD
• Danitra L Edmond, LPN
• Brittney A Egan, LPC
• Nicole Renee Egan, PHARMD

• Durable Medical Equipment & Medical Supplies in Massillon, OH
• Providers in Massillon, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.