Northwest Orthotics Prosthetics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

B ME 0149837 Issued in MI

Legal business name

NORTHWEST ORTHOTICS PROSTHETICS INC

Practice address

39830 Grand River Ave
Suite B1D
Novi, MI 48375-2140

Phone

(248) 477-1443

Fax

(248) 477-1509

NPI assigned

Jul 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Greg V Greenway, CP

Title

General Manager, Certified Prosthe

Phone

(248) 477-1443

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra C Gossett, FM

  • Orthotic Fitter
  • Novi, MI
  • NPI 1205906997
  NPD (past)
• Jean M Hobkirk, CP

  • Orthotic Fitter
  • Novi, MI
  • NPI 1992876510
  NPD (past)
• Dennis R Ryba, CPO

  • Orthotic Fitter
  • Novi, MI
  • NPI 1578638680
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1992703201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39830 GRAND RIVER AVE",
            "address_2": "SUITE B1D",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752140",
            "telephone_number": "248-477-1443",
            "fax_number": "248-477-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39830 GRAND RIVER AVE",
            "address_2": "SUITE B1D",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752140",
            "telephone_number": "248-477-1443",
            "fax_number": "248-477-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ORTHOTICS PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "GREENWAY",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "GENERAL MANAGER, CERTIFIED PROSTHE",
        "authorized_official_telephone_number": "248-477-1443",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "B ME 0149837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE HEALTH PLAN",
            "identifier": "000000010487",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "530F309270",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4404770 85",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P80616",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard H Northcutt
• Northpoint Christian Counseling
• Northpoint Professional Counseling, Inc
• Northwest Eye Physicians, P.C.
• Northwest Orthotics and Prosthetics L.L.C.
• Amy Norton
• Lisa Norton
• Rayna Notareschi
• Nova Counseling Services Inc.
• Emily Lynn Novak

• Prosthetic/Orthotic Supplier in Novi, MI
• Providers in Novi, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.