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SUJATA MOHANTY BOCO
NPI 1710634654
Orthotist in Las Vegas, NV

Active since March 09, 2022
400 SHADOW LN STE 110, LAS VEGAS, NV 89106(702) 800-6520(702) 800-6492 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sujata Mohanty Boco NPPES

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

SUJATA MOHANTY BOCO (NPI 1710634654) is an individual orthotist provider in Las Vegas, Nevada and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1710634654
Entity TypeIndividualFemale
Primary Taxonomy222Z00000X
Provider Legal NameSUJATA MOHANTYCredential: BOCO
Location Address400 SHADOW LN STE 110Las Vegas, NV 89106-4355
Mailing Address400 Shadow Ln Ste 110Las Vegas, NV 89106-4355 · (702) 800-6520 · Fax (702) 800-6492
Phone(702) 800-6520
Fax(702) 800-6492
Sole ProprietorNo
Enumeration DateMarch 9, 2022
NPPES CertifiedMarch 9, 2022
✔ NPI 1710634654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
400 SHADOW LN STE 110, Las Vegas, NV 89106
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Other Providers at the Same Location NPPES 2

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

CHANDRA S MOHANTY CP,BOCO,FAAOP
Prosthetist
400 SHADOW LN STE 110
LAS VEGAS, NV 89106
Clark County (702) 800-6520
MOBILITY PROSTHETIC AND ORTHOTIC SERVICES LLC
Durable Medical Equipment & Medical Supplies
400 SHADOW LN STE 110
LAS VEGAS, NV 89106
Clark County (702) 800-6520

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 Sujata Mohanty's NPI number?

The NPI number for Sujata Mohanty is 1710634654. It was assigned to this individual provider in the NPPES registry on March 9, 2022.

Where is Sujata Mohanty located?

Sujata Mohanty practices at 400 Shadow Ln Ste 110, Las Vegas, NV 89106. The listed phone number is (702) 800-6520.

What is Sujata Mohanty'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 Sujata Mohanty was last updated on March 9, 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.