Provider Demographics
NPI:1578845863
Name:ORTHOTICS PROFESSIONALS LLC
Entity Type:Organization
Organization Name:ORTHOTICS PROFESSIONALS LLC
Other - Org Name:ORTHOPRO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:402-416-8573
Mailing Address - Street 1:PO BOX 67097
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-7097
Mailing Address - Country:US
Mailing Address - Phone:402-416-8573
Mailing Address - Fax:402-420-0402
Practice Address - Street 1:7030 HELEN WITT DR
Practice Address - Street 2:SUITE B
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-3730
Practice Address - Country:US
Practice Address - Phone:402-416-8573
Practice Address - Fax:402-420-0400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-13
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthistGroup - Single Specialty