Healthcare Provider Details

I. General information

NPI: 1225236623
Provider Name (Legal Business Name): ORTHOPEDIC MOTION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2007
Last Update Date: 10/01/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 N 89TH ST STE 203
OMAHA NE
68114-4072
US

IV. Provider business mailing address

3233 W CHARLESTON BLVD STE 203
LAS VEGAS NV
89102-1999
US

V. Phone/Fax

Practice location:
  • Phone: 402-252-4777
  • Fax: 402-252-4777
Mailing address:
  • Phone: 702-697-7070
  • Fax: 702-697-7077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number1002446902
License Number StateNV

VIII. Authorized Official

Name: ADAM STRYKER
Title or Position: CEO
Credential:
Phone: 402-252-4777