Provider Demographics
NPI:1669283560
Name:INSPIRE PROSTHETICS AND ORTHOTICS LLC
Entity type:Organization
Organization Name:INSPIRE PROSTHETICS AND ORTHOTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHANTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY-POTTINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-913-2620
Mailing Address - Street 1:3233 W CHARLESTON BLVD STE 111
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1923
Mailing Address - Country:US
Mailing Address - Phone:725-222-4476
Mailing Address - Fax:725-238-4476
Practice Address - Street 1:3233 W CHARLESTON BLVD STE 111
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1923
Practice Address - Country:US
Practice Address - Phone:725-222-4476
Practice Address - Fax:725-238-4476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment