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	2007301533	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	:	1316181605
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	:	8402 CENTENNIAL PKWY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4726
Country	:	US
Telephone Number	:	702-386-1270
Fax Number	:	702-386-1271

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

Provider Enumeration Date	:	04/30/2009
Last Update Date	:	03/30/2020

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Directions to “ORTHOPEDIC MOTION INC ” Practice Location

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