OrganizationActive
Mobile Orthotic & Prosthetic Services
NPI 1497090641 · Prosthetic/Orthotic Supplier · Bridgeport, CT
Provider details
- NPI number
- 1497090641
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Grady Lewin, Member(914) 720-3321
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
429 Salem St
Bridgeport, CT 06606-4684
Phone: (914) 720-3321
Street-level locationGet directions
Mailing address
429 Salem St
Bridgeport, CT 06606-4684
Registry dates
- Enumerated
- 2012-11-28
- Last updated
- 2012-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.