Healthcare Provider Details

I. General information

NPI: 1629986310
Provider Name (Legal Business Name): OPEN BIONICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W BIG BEAVER RD STE 200
TROY MI
48084-5283
US

IV. Provider business mailing address

100 W BIG BEAVER RD STE 200
TROY MI
48084-5283
US

V. Phone/Fax

Practice location:
  • Phone: 947-217-7558
  • Fax: 720-640-0405
Mailing address:
  • Phone: 947-217-7558
  • Fax: 720-640-0405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ELISE GRISET
Title or Position: DIRECTOR, CLINICAL OPERATIONS
Credential: CPO
Phone: 720-417-8698