MR. ADAM LEE WAUGH MPO, CO
NPI 1487176293
Orthotist in South Bend, IN

Active since July 13, 2017
17530 DUGDALE DR, SOUTH BEND, IN 46635(574) 233-3352 Get Directions Write a Review

NPPES record last updated: July 13, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Adam Lee Waugh Mpo, Co NPPES

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

MR. ADAM LEE WAUGH MPO, CO (NPI 1487176293) is an individual orthotist provider in South Bend, Indiana, licensed in Illinois (213.000354) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1487176293
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameMR. ADAM LEE WAUGHCredential: MPO, CO
Location Address17530 DUGDALE DRSouth Bend, IN 46635-1583
Mailing Address17530 Dugdale DrSouth Bend, IN 46635-1583 · (574) 233-3352
Sole ProprietorYes
Enumeration DateJuly 13, 2017
NPI 1487176293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
License Licensed in IL · 213.000354
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.

17530 DUGDALE DR, South Bend, IN 46635

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

Other Providers at the Same Location NPPES

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

Orthotist
17530 DUGDALE DR
SOUTH BEND, IN 46635

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487176293, enumerated as an "individual" on July 13, 2017.

The provider is located at 17530 DUGDALE DR SOUTH BEND, IN 46635 and the phone number is (574) 233-3352.

Orthotist with taxonomy code 222Z00000X.