JACKRABBIT SHOES AND ORTHOTICS, INC.
NPI 1982903720
Prosthetic/Orthotic Supplier in Benicia, CA

Active since March 18, 2011
4576 E 2ND ST, H, BENICIA, CA 94510(707) 751-1630(925) 226-3184 Get Directions Write a Review

NPPES record last updated: March 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackrabbit Shoes And Orthotics, Inc. NPPES

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

JACKRABBIT SHOES AND ORTHOTICS, INC. (NPI 1982903720) is a healthcare organization registered as a prosthetic/orthotic supplier in Benicia, California and active in the NPI registry since March 2011. The organization lists Dale Sovak, Owner, as its authorized official.

NPPES Registry Identity

NPI1982903720
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameJACKRABBIT SHOES AND ORTHOTICS, INC.
Location Address4576 E 2ND ST, HBenicia, CA 94510-1046
Mailing Address4576 E 2nd St, HBenicia, CA 94510-1046 · (707) 751-1630 · Fax (925) 226-3184
Fax(925) 226-3184
Organization SubpartNo
Authorized OfficialDale SovakOwner · (707) 751-1630
Enumeration DateMarch 18, 2011
NPI 1982903720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in CA · CPED 2916
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.

4576 E 2ND ST, Benicia, CA 94510

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Jackrabbit Shoes And Orthotics Inc carries, from the Medicare DMEPOS supplier directory.

Jackrabbit Shoes And Orthotics Inc

DMEPOS supplier · Benicia, CA

Accepts Medicare assignment

Jackrabbit Shoes And Orthotics Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20526857
Medicare Participant SinceOctober 11, 2011
Supplier Location4576 E 2nd St Ste HBenicia, CA 94510
Provider TypePedorthic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

Podiatrist (Sports Medicine)
4576 E 2ND ST, H
BENICIA, CA 94510

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 Jackrabbit Shoes And Orthotics, Inc.'s NPI number?

The NPI number for Jackrabbit Shoes And Orthotics, Inc. is 1982903720. It was assigned to this organization in the NPPES registry on March 18, 2011.

Where is Jackrabbit Shoes And Orthotics, Inc. located?

Jackrabbit Shoes And Orthotics, Inc. is located at 4576 E 2nd St H, Benicia, CA 94510. The listed phone number is (707) 751-1630.

What is Jackrabbit Shoes And Orthotics, Inc.'s specialty?

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

Does Jackrabbit Shoes And Orthotics, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Jackrabbit Shoes And Orthotics Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Jackrabbit Shoes And Orthotics, Inc. was last updated on March 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.