Prosthetix Shop LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

304 Issued in OH

Legal business name

PROSTHETIX SHOP LLC

Practice address

431 Ohio Pike
Suite 124 South
Cincinnati, OH 45255-3375

Phone

(513) 843-5126

Fax

(513) 843-5164

NPI assigned

Jan 11, 2013

Last updated

Mar 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Moles, LPNPI 1598009045

Title

Owner

Phone

(513) 843-5126

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Prosthetix Shop LLC

  • Prosthetic/Orthotic Supplier
  • Urbancrest, OH
  • NPI 1811638208

  9032364450

  Same PAC ID

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

Tax ID family

Prosthetix Shop2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Prosthetix Shop LLC

  • Prosthetic/Orthotic Supplier
  • Urbancrest, OH
  • NPI 1811638208
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron Moles, LP

  • Prosthetist
  • Cincinnati, OH
  • NPI 1598009045
  NPD Authorized official

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1932446812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE",
            "address_2": "SUITE 124 SOUTH",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553375",
            "telephone_number": "513-843-5126",
            "fax_number": "513-843-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE",
            "address_2": "SUITE 124 SOUTH",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553375",
            "telephone_number": "513-843-5126",
            "fax_number": "513-843-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIX SHOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "MOLES",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-843-5126",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.