MEDICARE: ORTHOPEDIC MOTION INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier	2000117-424	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215135447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC MOTION INC.

Provider Business Mailing Address
First Line	:	3233 W. CHARLESTON BLVD.
Second Line	:	SUITE 203
City	:	LAS VEGAS
State	:	NV
Zip	:	89102
Country	:	US
Telephone Number	:	702-697-7070
Fax Number	:	702-697-7077

Provider Business Practice Location Address
First Line	:	3233 W CHARLESTON BLVD STE 203
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1999
Country	:	US
Telephone Number	:	702-697-7070
Fax Number	:	702-697-7077

Authorized Official
Title or Position	:	CEO
Name	:	MR. ADAM STRYKER
Credential	:
Telephone Number	:	702-697-7070

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	12/15/2020

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Directions to “ORTHOPEDIC MOTION INC. ” Practice Location

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