MICHAEL'S ORTHOTICS, L.L.C.
NPI 1245626720
Specialist - Prosthetics Case Management in Belleville, IL

Active since April 10, 2015
1551 CLASSEN DR, BELLEVILLE, IL 62220(314) 532-5462 Get Directions Write a Review

NPPES record last updated: April 10, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist
  • Prosthetics Case Management

About MICHAEL'S ORTHOTICS, L.L.C.

This page provides the complete NPI Profile along with additional information for Michael's Orthotics, L.l.c., a provider established in Belleville, Illinois operating as a Specialist, focusing in prosthetics case management . The healthcare provider is registered in the NPI registry with number 1245626720 assigned on April 2015. The practitioner's primary taxonomy code is 1744P3200X with license number 330348306 (MO). The provider is registered as an organization and their NPI record was last updated 11 years ago. Michael's Orthotics, L.l.c. 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 Mr. T. Michael Kukowsky C. Ped. (Certified Pedorthists)

NPI
1245626720 Verify this NPI
Provider Name
MICHAEL'S ORTHOTICS, L.L.C.
Entity Type
Organization
Location Address
1551 CLASSEN DR BELLEVILLE, IL 62220
Location Phone
(314) 532-5462
Mailing Address
225 S MERAMEC AVE SUITE306 SAINT LOUIS, MO 63105
Mailing Phone
(314) 532-5462
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2015
Last Update Date
04-10-2015
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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

Specialist Prosthetics Case Management

Taxonomy Code
1744P3200X
Type
Other Service Providers
License No.
330348306
License State
MO
Taxonomy Description
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. T. MICHAEL KUKOWSKY C. PED.

Authorized Official Title
CERTIFIED PEDORTHISTS
Authorized Official Phone
(314) 532-5462

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245626720, enumerated as an "organization" on April 10, 2015.

The provider is located at 1551 CLASSEN DR BELLEVILLE, IL 62220 and the phone number is (314) 532-5462.

Specialist with taxonomy code 1744P3200X and a focus in Prosthetics Case Management.