Organization · Type 2 NPI
Form Orthotics & Prosthetics, PLLC
Prosthetic/Orthotic Supplier · Rockford, IL
Practice location
4921 E State St Lowr Level
Rockford, IL 61108-2275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Other prosthetic/orthotic supplier providers in Rockford
- Cranial Technologies, Inc.Prosthetic/Orthotic Supplier Rockford, IL NPI 1053038141
- Northern Prosthetics & Orthopedic IncProsthetic/Orthotic Supplier Rockford, IL NPI 1194719328
- Empicare, Inc.Prosthetic/Orthotic Supplier Rockford, IL NPI 1245381458
- Orthomidwest, PLLCProsthetic/Orthotic Supplier Rockford, IL NPI 1306880414
- Cpo Services, IncProsthetic/Orthotic Supplier Rockford, IL NPI 1811277692
About NPI 1740113422
Form Orthotics & Prosthetics, PLLC's National Provider Identifier is 1740113422, issued on Jun 4, 2026. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Rockford, IL. The record was last updated on Jun 4, 2026.