TETER ORTHOTICS & PROSTHETICS, INC – Prosthetic/Orthotic Supplier, NPI 1801891973

TETER ORTHOTICS & PROSTHETICS, INC is a healthcare provider. based in Traverse city, Michigan. specializing in Prosthetic/Orthotic Supplier. The organization holds a License No. ========= (MI). The NPI Number for TETER ORTHOTICS & PROSTHETICS, INC is 1801891973

Main info

Organization
Name
TETER ORTHOTICS & PROSTHETICS, INC
NPI
1801891973
Phone
(231) 947-5701
Address
1225 W FRONT ST STE A
Authorized Official
GRACE ANGELINE REG COMPLIANCE SPECIALIST III
Enumeration Date
16 June 2005
Last Update Date
21 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for TETER ORTHOTICS & PROSTHETICS, INC

  • 1225 W FRONT ST STE A

    TRAVERSE CITY, MI 496842368

    Phone: (231) 947-5701

    Fax: (231) 947-1370

    Type: Location

  • West Front Street, Traverse City, Grand Traverse County, Michigan, 49684, United States

    STE A

    TRAVERSE CITY, MI 496842317

    Phone: (231) 947-5701

    Fax: (231) 947-1370

    Type: Mailing

  • PO BOX 650846

    DALLAS, TX 752650846

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930076794OOrthotic PersonnelMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49684)

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Reviews

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Frequently asked questions

Can I verify TETER ORTHOTICS & PROSTHETICS, INC with an NPI only?
You can start verification with NPI 1801891973 for TETER ORTHOTICS & PROSTHETICS, INC, then check state licensing separately.
Can I rely on TETER ORTHOTICS & PROSTHETICS, INC being an active provider?
As of the registry snapshot, TETER ORTHOTICS & PROSTHETICS, INC is marked active.
What is TETER ORTHOTICS & PROSTHETICS, INC's primary classification?
Prosthetic/Orthotic Supplier is the headline specialty for TETER ORTHOTICS & PROSTHETICS, INC here. Clinical services aligned with this taxonomy classification.
Does TETER ORTHOTICS & PROSTHETICS, INC list a practice location?
Patients near Traverse City, Michigan may find TETER ORTHOTICS & PROSTHETICS, INC in results; validate coverage separately.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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