2401 Executive Plaza Rd, Suite 1-A, Pensacola, FL 32504
Phone
(850) 474-5003
Listed under
Orthotics and bracing, Pedorthics and footwear, License number listed
NPI
1588117055
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Prosthetic/Orthotic Supplier (335E00000X)
License number on NPI record
PED207 (FL)
Authorized official
Kyle Smith, CPED, CFO, Owner
NPI first issued
Aug 1, 2016
NPI record last updated
Jun 14, 2017
NPI 1588117055 is active in the federal NPPES registry (CMS); license PED207 (FL) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.
What these registry facts mean
The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Prosthetic/Orthotic Supplier is a supplier taxonomy: it describes a business that provides artificial limbs and braces, not an individual practitioner's certification. Ask which staff are certified (for example CPO, CP or CO through the American Board for Certification or the Board of Certification/Accreditation) and whether your state requires a license.
Checking credentials: the NPI record shows the business's registration, not any person's certification. Certification can be checked with the American Board for Certification (abcop.org) or the Board of Certification/Accreditation (bocusa.org), and some states license practitioners; check with your state board.
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