GAITWELL ORTHOTICS AND PEDORTHICS
NPI 1043280779
Orthotist in Edgewood, KY

Q: What is Gaitwell Orthotics And Pedorthics's NPI number?

The NPI number for Gaitwell Orthotics And Pedorthics is 1043280779. It was assigned to this organization in the NPPES registry on January 25, 2006.

Q: What is Gaitwell Orthotics And Pedorthics's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

Active since January 25, 2006

560 S LOOP RD, EDGEWOOD, KY 41017(859) 301-0622(513) 889-1850 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2020, Apr 11, 2017 (2 updates tracked since 2017).

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About Gaitwell Orthotics And Pedorthics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAITWELL ORTHOTICS AND PEDORTHICS (NPI 1043280779) is a healthcare organization registered as an orthotist in Edgewood, Kentucky and active in the NPI registry since January 2006. The organization lists Deborah A Wallace, Office Mananger, as its authorized official.

NPPES Registry Identity

NPI1043280779

Entity TypeOrganization

Primary Taxonomy222Z00000X

Legal Business NameGAITWELL ORTHOTICS AND PEDORTHICS

Location Address560 S LOOP RDEdgewood, KY 41017-3405

Mailing Address1 N Commerce Park Dr Ste 306Cincinnati, OH 45215-3188 · (513) 829-2217 · Fax (513) 889-1850

Phone(859) 301-0622

Fax(513) 889-1850

Organization SubpartNo

Authorized OfficialDeborah A WallaceOffice Mananger · (937) 456-4800

Enumeration DateJanuary 25, 2006

Last NPPES UpdateJune 18, 20202 updates tracked since enumeration

NPPES CertifiedJune 18, 2020

✔ NPI 1043280779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code222Z00000X

Definition

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

560 S LOOP RD, Edgewood, KY 41017

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Other Identifiers 6

Other106156400KY · Acs Workers Comp

Other0KY · Healthsmart Network

OtherA146596KY · Multi Plan

Other0KY · Stratose

Other000000298877KY · Anthem Blue Cross

Medicaid90006024KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Gaitwell Orthotics And Pedorthics carries, from the Medicare DMEPOS supplier directory.

Gaitwell Orthotics And Pedorthics

DMEPOS supplier · Edgewood, KY

✔

Accepts Medicare assignment

Gaitwell Orthotics And Pedorthics agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20553839

Medicare Participant SinceJanuary 1, 2009

Supplier Location560 S Loop RdEdgewood, KY 41017

Phone(859) 301-0622

Provider TypePedorthic Personnel

Supplier Specialties

Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated

Custom met pads, Custom heel pads, Custom heel spur pads

Orthoses: Prefabricated (Non-Custom Fabricated)

Met pads, Heel pads, Heel spur pads

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Diabetic Shoes and Inserts

Shoes, Socks, Insoles

Diabetic Shoes/Inserts - Custom

Custom fabricated shoes, socks, & insoles

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW JAMES CONNOLLY D.P.M.

Podiatrist