Provider Demographics
NPI:1265580682
Name:ORTHOTIC SOLUTIONS INC
Entity type:Organization
Organization Name:ORTHOTIC SOLUTIONS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCINTURFF
Authorized Official - Suffix:SR
Authorized Official - Credentials:CPO
Authorized Official - Phone:330-253-3002
Mailing Address - Street 1:582 WEST MARKET ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303
Mailing Address - Country:US
Mailing Address - Phone:330-253-3002
Mailing Address - Fax:330-253-9190
Practice Address - Street 1:582 WEST MARKET ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303
Practice Address - Country:US
Practice Address - Phone:330-253-3002
Practice Address - Fax:330-253-9190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPO177222Z00000X, 224P00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Single Specialty
Not Answered224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Single Specialty
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0125279Medicaid
OH0125279Medicaid