REAL LIFE PROSTHETICS – NPI #1912216557
Prosthetic/Orthotic Supplier

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.

REAL LIFE PROSTHETICS is a DME Supplier located in NEWARK, DE. NPPES has assigned the NPI number 1912216557 to REAL LIFE PROSTHETICS on September 30, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “REAL LIFE PROSTHETICS” is a dba name, the actual legal business name for this organization is MARYLAND REAL LIFE DESIGNS, LLC. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was previously updated about 4 years ago on Jan 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REAL LIFE PROSTHETICS below.

NPI Profile for
MARYLAND REAL LIFE DESIGNS, LLC

NPI Number
1912216557
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARYLAND REAL LIFE DESIGNS, LLC
Doing Business As (dba): REAL LIFE PROSTHETICS
Primary location
100 BIDDLE AVE
SUITE 100
NEWARK, DE 19702-3981
Phone: (302) 392-1947 Fax:
Mailing address
3435 BOX HILL CORPORATE CENTER DR
SUITE D
ABINGDON, MD 21009-1204
Phone: (410) 569-0606 Fax:
Organization Subpart
No
Authorized Official
SANDRA YEATER
MEMBER/CFO
Phone: (410) 569-0606
Updated
Certification Date
Jan 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for REAL LIFE PROSTHETICS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE JAMD4090110002
OTHERMEDICARE PROVIDER NUMBERMD4090110001
MEDICAIDMD01110310
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.