Certified Pedorthic Orthotics in Columbia - Prosthetic/orthotic Supplier
Certified Pedorthic Orthotics - NPI 1427030550
Certified Pedorthic Orthotics is a Prosthetic/orthotic Supplier in Columbia, South Carolina. Certified Pedorthic Orthotics practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Certified Pedorthic Orthotics is 1427030550. The last update date is 2020-08-22.
Certified Pedorthic Orthotics's current location address is 1901 Blanding St, Columbia, South Carolina. You can contact this provider via phone number 8037790550 and fax number 8037794606. The mailing address for Certified Pedorthic Orthotics is 1901 Blanding St, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Certified Pedorthic Orthotics |
|---|---|
| Address | 1901 Blanding St, Columbia, South Carolina |
| Phone Number | 8037790550 |
| Fax Number | 8037794606 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Cantwell Joseph |
| Credentials | BOC,ABC PR |
| Telephone Number | 8037790550 |
NPI Number Detail
| NPI Number | 1427030550 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1901 Blanding St |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292013519 |
| Phone Number | 8037790550 |
| Fax Number | 8037794606 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 1666 |
|
Definition: 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 f |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DME592 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Certified Pedorthic Orthotics by the Centers for Medicare & Medicaid Services?
The Certified Pedorthic Orthotics has been issued the NPI (National Provider Identifier) 1427030550 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Certified Pedorthic Orthotics?
The Certified Pedorthic Orthotics is physically situated at 1901 Blanding St, in the city of Columbia, state of SC, with the postal code 292013519.
What is Certified Pedorthic Orthotics's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Certified Pedorthic Orthotics is Prosthetic/orthotic Supplier, and the taxonomy code that categorizes this field of expertise is 335E00000X.
On what date did the Certified Pedorthic Orthotics receive its 1427030550 assignment from the Centers for Medicare & Medicaid Services?
The Certified Pedorthic Orthotics was assigned its 1427030550 by the Centers for Medicare & Medicaid Services on 2005-11-15.
As of what date were the details pertaining to Certified Pedorthic Orthotics last refreshed?
The information related to the Certified Pedorthic Orthotics, including its address, specialty, and other relevant details, was last updated on 2020-08-22.