NPIMap

Organization Active NPI

Mary Free Bed Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Troy, MI
National Provider Identifier
1992395255
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MARY FREE BED ORTHOTICS AND PROSTHETICS
Practice address
1717 Stephenson Hwy
Troy, MI 48083-2149
Phone
(248) 680-2800
Fax
(248) 680-2804
NPI assigned
Jan 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Robert Tuck, CPO
Title
Compliance Director
Phone
(616) 502-6488

Specialties & licenses 1

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

Addresses

Primary practice location

1717 Stephenson Hwy
Troy, MI 48083-2149

Mailing address

235 Wealthy St SE Ste 1100
Grand Rapids, MI 49503-5247
Phone (616) 840-8400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230329003544 MI DME Supplier - Certified Orth/Pros/PedorthistDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Pedorthic Personnel 9537287057 Practice locations: Troy, MI

Other NPIs with the same Medicare PAC ID 10

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

National Provider Directory

National Provider Directory
Tax ID family
Mary Free Bedbrace and13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1992395255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WEALTHY ST SE STE 1100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035247",
            "telephone_number": "616-840-8400",
            "fax_number": "616-840-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 STEPHENSON HWY",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832149",
            "telephone_number": "248-680-2800",
            "fax_number": "248-680-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY FREE BED ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "TUCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "616-502-6488",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.