NPIMap

Organization Active NPI

Assistive Tech Products, Inc

  • Customized Equipment (DME)
  • Shavertown, PA
National Provider Identifier
1003142969
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ASSISTIVE TECH PRODUCTS, INC
Practice address
315 Howell Rd
Shavertown, PA 18708-9642
Phone
(570) 338-0128
Fax
(570) 300-1808
NPI assigned
Oct 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Rexford Campbell, ATP, RETNPI 1326217415
Title
Ceo
Phone
(570) 338-0128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary
Eyewear Supplier 332H00000X
Hearing Aid Equipment 332S00000X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

315 Howell Rd
Shavertown, PA 18708-9642

Mailing address

315 Howell Rd
Shavertown, PA 18708-9642
Phone (570) 338-0128

National Provider Directory

National Provider Directory
Tax ID family
Assistive Tech Products2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1003142969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HOWELL RD",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089642",
            "telephone_number": "570-338-0128",
            "fax_number": "570-300-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOWELL RD",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089642",
            "telephone_number": "570-338-0128",
            "fax_number": "570-300-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTIVE TECH PRODUCTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "REXFORD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-338-0128",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATP, RET"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.