Active NPI
Pro-Orthotics Inc
- Durable Medical Equipment & Medical Supplies
- Orland Park, IL
National Provider Identifier
1891943577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PRO-ORTHOTICS INC
- Practice address
- 62 Orland Square Dr Ste 7
Orland Park, IL 60462-6561 - Phone
- (708) 645-4801
- Fax
- (708) 590-0945
- NPI assigned
- Sep 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ovidiu Georgescu
- Title
- Administrator
- Phone
- (708) 645-4801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
62 Orland Square Dr Ste 7
Orland Park, IL 60462-6561
Mailing address
62 Orland Square Dr Ste 7
Orland Park, IL 60462-6561
Phone (708) 645-4801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930082004 | IL | DME Supplier - Medical Supply Company With Pedorthic Personnel | 6608076484 | Practice locations: Orland Park, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pro-Orthotics Inc | Contracture Treatment Devices: Dynamic Splint|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
62 Orland Square Dr
Ste 7
Orland Park, IL 60462
Phone (708) 645-4801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546992000000",
"number": "1891943577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 ORLAND SQUARE DR STE 7",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604626561",
"telephone_number": "708-645-4801",
"fax_number": "708-590-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 ORLAND SQUARE DR STE 7",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604626561",
"telephone_number": "708-645-4801",
"fax_number": "708-590-0945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO-ORTHOTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-05",
"last_updated": "2019-01-09",
"status": "A",
"authorized_official_last_name": "GEORGESCU",
"authorized_official_first_name": "OVIDIU",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "708-645-4801"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.