Provider Demographics
NPI:1891238994
Name:A STEP AHEAD ORTHOTICS AND PROSTHETICS INC
Entity Type:Organization
Organization Name:A STEP AHEAD ORTHOTICS AND PROSTHETICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEGER
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:615-383-0048
Mailing Address - Street 1:718 THOMPSON LN
Mailing Address - Street 2:STE 115
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3600
Mailing Address - Country:US
Mailing Address - Phone:615-383-0048
Mailing Address - Fax:615-383-1588
Practice Address - Street 1:7123 HALCYON PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-7702
Practice Address - Country:US
Practice Address - Phone:256-534-8637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier