3636 University Blvd S, Suite B10, Jacksonville, FL 32216
Phone
(904) 737-7755
Listed under
Other O&P practices, License number listed
NPI
1588693329
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
POR46 (FL)
Authorized official
Matthew Bailey, CPO, President
NPI first issued
Jul 2, 2006
NPI record last updated
Aug 12, 2020
NPI 1588693329 is active in the federal NPPES registry (CMS); license POR46 (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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