Wall Prosthetics & Orthotics, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

WALL PROSTHETICS & ORTHOTICS, INC

Practice address

2 Centennial Dr
Unit 6a
Peabody, MA 01960-7911

Phone

(978) 538-9800

Fax

(978) 538-9811

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Arthur Wall, PT, CPO, FAAOP

Title

President/ Prosthetist/ Orthotist

Phone

(978) 745-3500

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1992813547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CENTENNIAL DR",
            "address_2": "UNIT 6A",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607911",
            "telephone_number": "978-538-9800",
            "fax_number": "978-538-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTENNIAL DR",
            "address_2": "UNIT 6A",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607911",
            "telephone_number": "978-538-9800",
            "fax_number": "978-538-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL PROSTHETICS & ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT/ PROSTHETIST/ ORTHOTIST",
        "authorized_official_telephone_number": "978-745-3500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, CPO, FAAOP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC ORTHOTICS/ PROSTHET",
            "identifier": "704517",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS ORTHOTICS/ PROSTHET",
            "identifier": "685834",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH O & P",
            "identifier": "986834",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ORTHOTICS/ PROSTHET",
            "identifier": "392254",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP ORTHOTICS/ PROSTHETIC",
            "identifier": "0020903",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1500007",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rena Dierdre Walsh-Noring, PT
• Andrea Hope Walsh
• Danielle Erica Walsh, OTR/L, PMHNP
• Jenelle Walsh, LCSW

• Prosthetic/Orthotic Supplier in Peabody, MA
• Providers in Peabody, MA by specialty
• Prosthetic/Orthotic Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.