NPIMap

Organization Active NPI

Wall Prosthetics & Orthotics, Inc

  • Prosthetic/Orthotic Supplier
  • Peabody, MA
National Provider Identifier
1992813547
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Nov 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

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

Addresses

Primary practice location

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

Mailing address

2 Centennial Dr
Unit 6a
Peabody, MA 01960-7911
Phone (978) 538-9800

National Provider Directory

National Provider Directory

Locations

2 Centennial Dr
Ste 6A
Peabody, MA 01960
Phone (978) 538-9800

2 Centennial Dr
Unit 6A
Peabody, MA 01960
Phone (978) 538-9800

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • 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.