Provider Demographics
NPI:1598748576
Name:PROSTHETIC AND ORTHOTIC LIMITED
Entity Type:Organization
Organization Name:PROSTHETIC AND ORTHOTIC LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC TREAS PROSTHETIC AND ORTHOTIC
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:STRANO
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:859-277-3700
Mailing Address - Street 1:1641 NICHOLASVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1426
Mailing Address - Country:US
Mailing Address - Phone:859-277-3700
Mailing Address - Fax:859-277-8326
Practice Address - Street 1:1641 NICHOLASVILLE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1426
Practice Address - Country:US
Practice Address - Phone:859-277-3700
Practice Address - Fax:859-277-8326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Single Specialty
Not Answered224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90980343Medicaid
0303170001Medicare ID - Type Unspecified