Organization Active NPI

Orthotic and Prosthetic Clinics of America

  • Prosthetic/Orthotic Supplier
  • Tampa, FL
National Provider Identifier
1942964150
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ORTHOTIC AND PROSTHETIC CLINICS OF AMERICA
Practice address
4809 Memorial Hwy Ste 100
Tampa, FL 33634-7515
Phone
(813) 466-5006
Fax
(813) 466-5026
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Mrs. Wendy L Antuna
Title
Practice Administrator
Phone
(203) 777-2396

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4809 Memorial Hwy Ste 100
Tampa, FL 33634-7515

Mailing address

4809 Memorial Hwy Ste 100
Tampa, FL 33634-7515
Phone (813) 728-4660

Other names 1

  • OPCA Clinics of Tampa Other name

National Provider Directory

National Provider Directory

Locations

4809 Memorial Hwy
Ste 100
Tampa, FL 33634
Phone (813) 386-7121

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1942964150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 MEMORIAL HWY STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347515",
            "telephone_number": "813-728-4660",
            "fax_number": "813-466-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 MEMORIAL HWY STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347515",
            "telephone_number": "813-466-5006",
            "fax_number": "813-466-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC AND PROSTHETIC CLINICS OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2023-03-17",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "ANTUNA",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "203-777-2396",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPCA Clinics of Tampa",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "OPCA Clinics of Tampa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.