Comprehensive Prosthetic Services LLC

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

3884152 Issued in CT

Legal business name

COMPREHENSIVE PROSTHETIC SERVICES LLC

Practice address

21 Business Park Dr
Branford, CT 06405-2935

Phone

(203) 315-1400

Fax

(203) 315-1404

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John R Zenie, CPO, MBA

Title

Managing Member

Phone

(203) 315-1400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1972504124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BUSINESS PARK DR",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052935",
            "telephone_number": "203-315-1400",
            "fax_number": "203-315-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BUSINESS PARK DR",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052935",
            "telephone_number": "203-315-1400",
            "fax_number": "203-315-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PROSTHETIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "ZENIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-315-1400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, MBA"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotic Fitter",
            "state": "CT",
            "license": "3884152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004254190",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Jerilyn Coletta, AGACNP-BC; AGPCNP-BC
• Sarah Coley, M.S., CCC-SLP
• Amanda Comeau, PA-C
• Community Health RX #2, Inc.
• Alyse Marie Como, APRN
• Jeri A Conlon, RN
• Connecticut CVS Pharmacy, L.L.C.
• Connecticut Orthopaedic Specialists Outpatient Surgical Center LLC
• Connecticut Orthopaedic Specialists, PC
• Connecticut Orthopaedic Specialists, PC

• All providers in Branford, CT
• Orthotic Fitter in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.