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CANTON ORTHOTIC LABORATORY INC
NPI 1720080005
Prosthetic/Orthotic Supplier in Canton, OH

Active since June 01, 2005
811 12TH ST NW, CANTON, OH 44703(330) 454-2081(330) 454-9568 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Canton Orthotic Laboratory Inc NPPES

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

CANTON ORTHOTIC LABORATORY INC (NPI 1720080005) is a healthcare organization registered as a prosthetic/orthotic supplier in Canton, Ohio and active in the NPI registry since June 2005. The organization lists Stephen Thomas Simko, President/licensed Orthotist, as its authorized official.

NPPES Registry Identity

NPI1720080005
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameCANTON ORTHOTIC LABORATORY INC
Location Address811 12TH ST NWCanton, OH 44703-1927
Mailing Address811 12th St NwCanton, OH 44703-1927 · (330) 454-2081 · Fax (330) 454-9568
Phone(330) 454-2081
Fax(330) 454-9568
Organization SubpartNo
Authorized OfficialStephen Thomas SimkoPresident/licensed Orthotist · (330) 454-2081
Enumeration DateJune 1, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720080005 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.
811 12TH ST NW, Canton, OH 44703
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Other Identifiers 2

Medicaid0291143OH
Other000000155415OH · Anthem Provider Number

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 Canton Orthotic Laboratory Inc's NPI number?

The NPI number for Canton Orthotic Laboratory Inc is 1720080005. It was assigned to this organization in the NPPES registry on June 1, 2005.

Where is Canton Orthotic Laboratory Inc located?

Canton Orthotic Laboratory Inc is located at 811 12th St NW, Canton, OH 44703. The listed phone number is (330) 454-2081.

What is Canton Orthotic Laboratory Inc'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 Canton Orthotic Laboratory Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.