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MR. ANTONIO MARIO SERGIO SR. REG SHOE-MAKER MERCH
NPI 1437301074
Orthotist in South Bend, IN

Active since October 15, 2008
1508 MISHAWAKA AVENUE, SOUTH BEND, IN 46615(574) 246-9700 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Antonio Mario Sergio Sr. Reg Shoe-maker Merch NPPES

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

MR. ANTONIO MARIO SERGIO SR. REG SHOE-MAKER MERCH (NPI 1437301074) is an individual orthotist provider in South Bend, Indiana and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1437301074
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameMR. ANTONIO MARIO SERGIO SR.Credential: REG SHOE-MAKER MERCH
Location Address1508 MISHAWAKA AVENUESouth Bend, IN 46615-1426
Mailing Address1508 Mishawaka AvenueSouth Bend, IN 46615-1426 · (574) 246-9700
Phone(574) 246-9700
Sole ProprietorYes
Enumeration DateOctober 15, 2008
✔ NPI 1437301074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedOrthotic FitterTaxonomy 225000000X
1508 MISHAWAKA AVENUE, South Bend, IN 46615
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio Sergio's NPI number?

The NPI number for Antonio Sergio is 1437301074. It was assigned to this individual provider in the NPPES registry on October 15, 2008.

Where is Antonio Sergio located?

Antonio Sergio practices at 1508 Mishawaka Avenue, South Bend, IN 46615. The listed phone number is (574) 246-9700.

What is Antonio Sergio's specialty?

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

When was this NPI record last updated?

The NPPES record for Antonio Sergio was last updated on October 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.