OrganizationActive
Center for Independent Rehabilitative Services Inc
NPI 1629137526 · Prosthetic/Orthotic Supplier · Lodi, CA
Provider details
- NPI number
- 1629137526
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Eddie Rogers, President(209) 845-8231
Specialties & taxonomies
Suppliers
- Orthotic Fitter225000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1745 Kettleman Lane
Suite a
Lodi, CA 95242-9287
Phone: (209) 333-1148
Fax: (209) 333-0624
Street-level locationGet directions
Mailing address
693 Hi Tech Parkway
Oakdale, CA 95361
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2013-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.