Organization Active NPI

Adaptive Modifications LLC

Doing business as Adaptive Modifications

  • Durable Medical Equipment & Medical Supplies
  • McKinney, TX
National Provider Identifier
1013394873
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADAPTIVE MODIFICATIONS LLC
Doing business as
Adaptive Modifications
Practice address
6710 Virginia Pkwy
Ste 215-70
McKinney, TX 75071-5514
Phone
(972) 754-7103
Fax
(214) 592-0860
NPI assigned
Apr 30, 2015
Last updated
Apr 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Mr. James Boren, COTA
Title
Occupational Therapy Consultant
Phone
(972) 754-7103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

6710 Virginia Pkwy
Ste 215-70
McKinney, TX 75071-5514

Mailing address

6710 Virginia Pkwy
Ste 215-70
McKinney, TX 75071-5514
Phone (972) 754-7103

Other names 1

  • Adaptive Modifications Doing business as

National Provider Directory

National Provider Directory

Locations

6710 Virginia Pkwy
Ste 21570
McKinney, TX 75071
Phone (972) 754-7103

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1013394873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 VIRGINIA PKWY",
            "address_2": "STE 215-70",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715514",
            "telephone_number": "972-754-7103",
            "fax_number": "214-592-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 VIRGINIA PKWY",
            "address_2": "STE 215-70",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715514",
            "telephone_number": "972-754-7103",
            "fax_number": "214-592-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE MODIFICATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "BOREN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY CONSULTANT",
        "authorized_official_telephone_number": "972-754-7103",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adaptive Modifications",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.