MARY FREE BED BRACE AND CORSET SHOP
NPI 1619929643
Prosthetic/Orthotic Supplier in Grand Rapids, MI

Active since May 17, 2006
360 LAFAYETTE AVE SE, SUITE 320, GRAND RAPIDS, MI 49503(616) 356-1916(616) 356-1868 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Free Bed Brace And Corset Shop NPPES

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

MARY FREE BED BRACE AND CORSET SHOP (NPI 1619929643) is a healthcare organization registered as a prosthetic/orthotic supplier in Grand Rapids, Michigan and active in the NPI registry since May 2006. The organization lists Mark A Porth, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1619929643
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMARY FREE BED ORTHOTICS AND PROSTHETICS
Location Address360 LAFAYETTE AVE SE, SUITE 320Grand Rapids, MI 49503-4677
Mailing Address235 Wealthy St SeGrand Rapids, MI 49503-5247 · (616) 356-1916 · Fax (616) 356-1868
Fax(616) 356-1868
Organization SubpartNo
Authorized OfficialMark A PorthChief Compliance Officer · (616) 356-1916
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 21, 2022
NPI 1619929643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
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.
360 LAFAYETTE AVE SE, Grand Rapids, MI 49503

Other Names 1

Doing Business AsMary Free Bed Brace And Corset Shop

Other Identifiers 2

Other530D105100MI · Blue Cross Upin
Medicaid853222011MI

Other Providers at the Same Location NPPES 6

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

Speech-Language Pathologist
360 LAFAYETTE AVE SE, SUITE 400
GRAND RAPIDS, MI 49503
Durable Medical Equipment & Medical Supplies (Customized Equipment)
360 LAFAYETTE AVE SE, SUITE 330
GRAND RAPIDS, MI 49503
Pediatrics
360 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Durable Medical Equipment & Medical Supplies (Customized Equipment)
360 LAFAYETTE AVE SE, SUITE 330
GRAND RAPIDS, MI 49503
Occupational Therapist
360 LAFAYETTE AVE SE, SUITE 400
GRAND RAPIDS, MI 49503
Speech-Language Pathologist
360 LAFAYETTE AVE SE, SUITE 400
GRAND RAPIDS, MI 49503

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 Mary Free Bed Orthotics And Prosthetics's NPI number?

The NPI number for Mary Free Bed Orthotics And Prosthetics is 1619929643. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Mary Free Bed Brace And Corset Shop.

Where is Mary Free Bed Orthotics And Prosthetics located?

Mary Free Bed Orthotics And Prosthetics is located at 360 Lafayette Ave SE Suite 320, Grand Rapids, MI 49503. The listed phone number is (616) 356-1916.

What is Mary Free Bed Orthotics And Prosthetics's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Mary Free Bed Orthotics And Prosthetics was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.