INNOVATIVE ORTHOTICS AND PROSTHETICS – Prosthetic/Orthotic Supplier, NPI 1336128313

INNOVATIVE ORTHOTICS AND PROSTHETICS is a healthcare provider. based in Tulsa, Oklahoma. specializing in Prosthetic/Orthotic Supplier. The NPI Number for INNOVATIVE ORTHOTICS AND PROSTHETICS is 1336128313

Main info

Organization
Name
INNOVATIVE ORTHOTICS AND PROSTHETICS
NPI
1336128313
Phone
(918) 745-2260
Address
6218 S LEWIS AVE
Authorized Official
MR. JOHN BREST ORTHOTIST/ PRESIDENT C.O. C.PED
Enumeration Date
10 January 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for INNOVATIVE ORTHOTICS AND PROSTHETICS

  • South Lewis Avenue, Williamsburg, Tulsa, Tulsa County, Oklahoma, 74171, United States

    STE 125

    TULSA, OK 741361018

    Phone: (918) 745-2260

    Fax: (918) 745-2271

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 74136)

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Reviews

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Frequently asked questions

How do payers reference INNOVATIVE ORTHOTICS AND PROSTHETICS?
For INNOVATIVE ORTHOTICS AND PROSTHETICS, use NPI 1336128313 as the unique 10-digit identifier.
Is there an active status for INNOVATIVE ORTHOTICS AND PROSTHETICS?
For scheduling context, INNOVATIVE ORTHOTICS AND PROSTHETICS is shown as active in the registry.
What kind of doctor is INNOVATIVE ORTHOTICS AND PROSTHETICS?
INNOVATIVE ORTHOTICS AND PROSTHETICS is associated with Prosthetic/Orthotic Supplier in the directory — Clinical services aligned with this taxonomy classification.
Where in Oklahoma is INNOVATIVE ORTHOTICS AND PROSTHETICS registered?
Use Tulsa, Oklahoma as the headline location for INNOVATIVE ORTHOTICS AND PROSTHETICS here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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