Provider Demographics
NPI:1962706366
Name:ORTHOPEDIC MOTION, INC.
Entity type:Organization
Organization Name:ORTHOPEDIC MOTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/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 111
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1938
Mailing Address - Country:US
Mailing Address - Phone:702-697-7070
Mailing Address - Fax:702-697-7077
Practice Address - Street 1:3233 W CHARLESTON BLVD
Practice Address - Street 2:SUITE 111
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1938
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:2010-12-29
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV19931043060335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier