MARY FREE BED ORTHOTICS AND PROSTHETICS
NPI 1154963817
Prosthetic/Orthotic Supplier in Saginaw, MI
NPI Status: Active since October 15, 2019
Contact Information
700 COOPER AVE STE 11001A
SAGINAW, MI
ZIP 48602
Phone: (616) 840-8007
- Organization
- Prosthetic/Orthotic Supplier
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
- CLIA Number: 23D0941240
- CLIA Cert. Type: Other
- CLIA Exp. Date: 02-22-2026
About MARY FREE BED ORTHOTICS AND PROSTHETICS
This page provides the complete NPI Profile along with additional information for Mary Free Bed Orthotics And Prosthetics, a provider established in Saginaw, Michigan operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1154963817 assigned on October 2019. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Mary Free Bed Orthotics And Prosthetics operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Robert Tuck Cpo (Compliance Director)
- NPI
- 1154963817
- Provider Name
- MARY FREE BED ORTHOTICS AND PROSTHETICS
- Entity Type
- Organization
- Location Address
- 700 COOPER AVE STE 11001A SAGINAW, MI 48602
- Location Phone
- (616) 840-8007
- Mailing Address
- 235 WEALTHY ST SE GRAND RAPIDS, MI 49503
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-15-2019
- Last Update Date
- 11-13-2025
- Code Navigator
Mary Free Bed Orthotics And Prosthetics is a medicare supplier with PTAN 20479769 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 07-01-1991 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 222Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Orthotist | |
| 2 | 224P00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Prosthetist | |
| 3 | 225000000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Orthotic Fitter |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20479769
- Accepts Medicare Assignment
- NO
- Provider Type List
- CERTIFIED ORTH/PROS/PEDORTHIST.
- Competitive Bidding
- NO
Supplies List
- 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
- Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
- Lymphedema Compression Treatment Items -
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- MARY FREE BED ORTHOTICS AND PROSTHETICS has an ownership type of Non-profit
- The facility received it's medicare certification date on 07-01-1991
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | 317 |
| Brain disease or condition (non-traumatic) | 59 |
| Brain injury (traumatic) | 54 |
| Hip or femur fracture | 54 |
| Hip or knee replacement, amputation or other bone or joint condition | 117 |
| Nervous system disorder (excluding stroke) | 81 |
| Spinal cord disease or condition (non-traumatic) | 34 |
| Spinal cord injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Stroke | 197 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0941240
- Facility Type
- Other
- Certificate Effective Date
- February 23, 2024
- Certificate Expiration Date
- February 22, 2026
- Laboratory Director
- BENJAMIN BRUINSMA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mary Free Bed Orthotics And Prosthetics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154963817, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154963817, enumerated as an "organization" on October 15, 2019.
The provider is located at 700 COOPER AVE STE 11001A SAGINAW, MI 48602 and the phone number is (616) 840-8007.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
