Canton Orthotic Laboratory Inc
Prosthetic/orthotic Supplier
2400 Wales Ave Nw, Suite H, Massillon
Ohio, 44646-0804
330-833-0955 330-833-0980
Canton Orthotic Laboratory Inc is not a DME supplier for medicare equipment and products.Canton Orthotic Laboratory Inc is a Prosthetic/orthotic Supplier in Massillon, Ohio. It is located at 2400 Wales Ave Nw, Suite H, Massillon and it's customer support contact number is 330-833-0955. The authorized person of Canton Orthotic Laboratory Inc is Mr. Stephen Thomas Simko I who is President/licensed Orthotist of this DME and his contact number is 330-833-0955.
Canton Orthotic Laboratory Inc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
DME Supplier Details:
Canton Orthotic Laboratory Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Canton Orthotic Laboratory Inc |
| Type: | Prosthetic/orthotic Supplier |
| Location: | 2400 Wales Ave Nw, Suite H, Massillon, Ohio, 44646-0804 |
| Phone: | 330-833-0955 |
| Fax: | 330-833-0980 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Stephen Thomas Simko I |
| Position: | President/licensed Orthotist |
| Contact Number: | 330-833-0955 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1073576617 |
| NPI Enumeration Date: | 06 Apr, 2006 |
| NPI Last Update On: | 11 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Canton Orthotic Laboratory Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | | | Primary | |
| Customized Equipment | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000000155415 | Other | Ohio | Anthem Community Mutual |
| 0291143 | Medicaid | Ohio | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2400 Wales Ave Nw, Suite H Massillon, Ohio |
| Zip: | 44646-0804 |
| Phone Number: | 330-833-0955 |
| Fax Number: | 330-833-0980 |
Patients can reach Canton Orthotic Laboratory Inc at
2400 Wales Ave Nw, Suite H, Massillon, Ohio or can
call on customer care at 330-833-0955.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.