Organization Active NPI

Pro-Orthotics Inc

  • Durable Medical Equipment & Medical Supplies
  • Orland Park, IL
National Provider Identifier
1891943577
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jan 9, 2019

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20100930082004 IL DME Supplier - Medical Supply Company With Pedorthic PersonnelDME Supplier - Medical Supply Company With Orthotic Personnel 6608076484 Practice locations: Orland Park, IL

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Pro-Orthotics Inc62 Orland Square Dr, Orland Park, IL 60462-6561(708) 645-4801 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 assignmentParticipating since Jun 3, 2009

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.