Provider Demographics
NPI:1215135447
Name:ORTHOPEDIC MOTION INC.
Entity type:Organization
Organization Name:ORTHOPEDIC MOTION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:STRYKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-697-7070
Mailing Address - Street 1:3233 W. CHARLESTON BLVD.
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102
Mailing Address - Country:US
Mailing Address - Phone:702-697-7070
Mailing Address - Fax:702-697-7077
Practice Address - Street 1:3233 W CHARLESTON BLVD STE 203
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1999
Practice Address - Country:US
Practice Address - Phone:702-697-7070
Practice Address - Fax:702-697-7077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2000117-424335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV003302088Medicaid