13 Executive Dr, Suite 13, Fairview Heights, IL 62208
Phone
(618) 212-0006
Listed under
Prosthetics, Orthotics and bracing
NPI
1629148739
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Prosthetic/Orthotic Supplier (335E00000X)
Authorized official
James Weber, Chief Executive Officer
NPI first issued
Nov 8, 2006
NPI record last updated
Nov 11, 2021
NPI 1629148739 is active in the federal NPPES registry (CMS). 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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