Organization Active NPI

Florida O & P Services Inc

  • Prosthetic/Orthotic Supplier
  • Orange Park, FL
National Provider Identifier
1902837305
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
POR46 Issued in FL
Legal business name
FLORIDA O & P SERVICES INC
Practice address
1555 Kingsley Ave
Suite 505
Orange Park, FL 32073-4560
Phone
(904) 278-7025
Fax
(904) 278-7027
NPI assigned
Jul 5, 2006
Last updated
Aug 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Mr. Matthew Priestly Bailey, C.P.O
Title
President
Phone
(904) 737-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X POR46 FL Primary

Addresses

Primary practice location

1555 Kingsley Ave
Suite 505
Orange Park, FL 32073-4560

Mailing address

3636 University Blvd S
Suite B10
Jacksonville, FL 32216-4250
Phone (904) 737-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930040602 FL DME Supplier - Certified Orth/Pros/PedorthistDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 4880715630 Practice locations: Orange Park, FL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Florida O & P Services Inc1555 Kingsley Ave, Orange Park, FL 32073-9207(904) 278-7025 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 31, 2000

National Provider Directory

National Provider Directory
Tax ID family
Florida O P Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3636 University Blvd S
Ste B10
Jacksonville, FL 32216
Phone (904) 737-7755

1555 Kingsley Ave
Ste 505
Orange Park, FL 32073
Phone (904) 278-7025

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1902837305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 UNIVERSITY BLVD S",
            "address_2": "SUITE B10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164250",
            "telephone_number": "904-737-7755",
            "fax_number": "904-737-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 KINGSLEY AVE",
            "address_2": "SUITE 505",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734560",
            "telephone_number": "904-278-7025",
            "fax_number": "904-278-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA O & P SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PRIESTLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-737-7755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.