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Active NPI 1306387337 Individual Practitioner Male Practitioner

John Mooney , CPO1410

Prosthetist • Glendale, WI

Professional Overview & Biography Verified Profile Summary

John Mooney, CPO1410 is a registered healthcare professional specializing in Prosthetist in Glendale, WI. Practice services are available at 2555 W KENBOERN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2555 W Kenboern Dr

Glendale, WI 532091835

Telephone 4145401202

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Glendale, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Glendale, WI (33 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 09, 2017

Registered at 2555 W KENBOERN DR, GLENDALE, WI 532091835 (Tel: 4145401202)

📍
Updated Business Mailing Address March 09, 2017

Registered at 2555 W KENBOERN DR, GLENDALE, WI 532091835 (Tel: 4145401202)

👤
Provider Name / Credentials Updated March 09, 2017

Recorded as JOHN MOONEY, CPO1410

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2017

Orthotist

🟢
Initial NPI Registration & Enumeration March 09, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306387337
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2017
Last Update: March 09, 2017
Sole Proprietor: Yes

Mailing Address

2555 W Kenboern Dr

Glendale, WI 532091835

Phone: 4145401202

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.