Pediatric Rehabilitative Orthotic Services Ltd Co
Customized Equipment
480 E 141st St Ste E, Glenpool
Oklahoma, 74033-3550
918-518-5980 918-518-5982
Pediatric Rehabilitative Orthotic Services Ltd Co is a Customized Equipment in Glenpool, Oklahoma. It is located at 480 E 141st St Ste E, Glenpool and it's customer support contact number is 918-518-5980. The authorized person of Pediatric Rehabilitative Orthotic Services Ltd Co is Mary Ellen Thies who is Office Manager of this DME and his contact number is 918-518-5980. Active license number of Pediatric Rehabilitative Orthotic Services Ltd Co is 11 for Customized Equipment in Oklahoma. Pediatric Rehabilitative Orthotic Services Ltd Co accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pediatric Rehabilitative Orthotic Services Ltd Co is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Pediatric Rehabilitative Orthotic Services Ltd Co 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: | Pediatric Rehabilitative Orthotic Services Ltd Co |
| Type: | Customized Equipment |
| Location: | 480 E 141st St Ste E, Glenpool,
Oklahoma, 74033-3550 |
| Phone: | 918-518-5980 |
| Fax: | 918-518-5982 |
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: | Mary Ellen Thies |
| Position: | Office Manager |
| Contact Number: | 918-518-5980 |
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: | 1922352780 |
| NPI Enumeration Date: | 01 Nov, 2012 |
| NPI Last Update On: | 22 Aug, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Rehabilitative Orthotic Services Ltd Co are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 11 | Oklahoma | Primary | |
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 |
| 200069410A | Medicaid | Oklahoma | |
| 200748390A | Medicaid | Kansas | |
Medicare Enrollment:
Pediatric Rehabilitative Orthotic Services Ltd Co is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4183867302 | O20130906000483 | Pediatric Rehabilitative Orthotic Services Ltd Co | DME SUPPLIER - ORTHOTIC PERSONNEL |
Products Available:
Pediatric Rehabilitative Orthotic Services Ltd Co has following products available for sale under medicare.
| Products: |
|---|
| • Canes & Crutches | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Dynamic Splints |
| • Orthoses: Custom Fabricated | • Orthoses: Off-the-shelf |
| • Orthoses: Prefabricated | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 480 E 141st St Ste E,
Glenpool, Oklahoma |
| Zip: | 74033-3550 |
| Phone Number: | 918-518-5980 |
| Fax Number: | 918-518-5982 |
Patients can reach Pediatric Rehabilitative Orthotic Services Ltd Co at
480 E 141st St Ste E, Glenpool, Oklahoma or can
call on customer care at 918-518-5980.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.