MARY FREE BED ORTHOTICS AND PROSTHETICS
NPI 1356902449
Orthotist in Kalamazoo, MI

NPI Status: Active since June 28, 2019

Contact Information

7123 STADIUM DR
KALAMAZOO, MI
ZIP 49009
Phone: (616) 840-8007

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  • Organization
  • Orthotist
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

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 Kalamazoo, Michigan operating as a Orthotist. The healthcare provider is registered in the NPI registry with number 1356902449 assigned on June 2019. The practitioner's primary taxonomy code is 222Z00000X. 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 Officer)

NPI
1356902449
Provider Name
MARY FREE BED ORTHOTICS AND PROSTHETICS
Entity Type
Organization
Location Address
7123 STADIUM DR KALAMAZOO, MI 49009
Location Phone
(616) 840-8007
Mailing Address
235 WEALTHY ST SE GRAND RAPIDS, MI 49503
Mailing Phone
(616) 840-8007
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2019
Last Update Date
11-13-2025
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Mary Free Bed Orthotics And Prosthetics is a medicare supplier with PTAN 20479757 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.

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

Orthotist

Taxonomy Code
222Z00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
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.

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)
1224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Prosthetist

 
2225000000XRespiratory, 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.

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

ROBERT TUCK CPO

Authorized Official Title
COMPLIANCE OFFICER
Authorized Official Phone
(616) 502-6488

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20479757
Accepts Medicare Assignment
NO
Specialities List
Medical Supply Company Other.
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 -

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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 1356902449, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 9 → 18 → 9 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 1 + 8 + 0 + 4 + 4 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1356902449.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356902449, enumerated as an "organization" on June 28, 2019.

The provider is located at 7123 STADIUM DR KALAMAZOO, MI 49009 and the phone number is (616) 840-8007.

Orthotist with taxonomy code 222Z00000X.