MEDICARE: PROSTHETICS IN 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

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	:	1659513554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROSTHETICS IN MOTION, INC

Provider Business Mailing Address
First Line	:	3 W 35TH ST FL 7
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-2204
Country	:	US
Telephone Number	:	212-951-7352
Fax Number	:	212-951-7354

Provider Business Practice Location Address
First Line	:	3 W 35TH ST FL 7
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-2204
Country	:	US
Telephone Number	:	212-951-7352
Fax Number	:	212-951-7354

Authorized Official
Title or Position	:	PRESIDENT / OWNER
Name	:	MR. CHRISTOPHER J. KORT
Credential	:	C.P.O.
Telephone Number	:	212-951-7352

Provider Enumeration Date	:	03/24/2009
Last Update Date	:	05/21/2025

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