Organization Active NPI

Adaptive Technology Providers Inc

  • Customized Equipment (DME)
  • Grants Pass, OR
National Provider Identifier
1053755520
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ADAPTIVE TECHNOLOGY PROVIDERS INC
Practice address
2011 SE Portola Dr
Grants Pass, OR 97526-3941
Phone
(800) 524-6563
NPI assigned
Apr 26, 2013
Last updated
May 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Patrick Antonio Weber, ENG
Title
Cfo
Phone
(800) 524-6563

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2011 SE Portola Dr
Grants Pass, OR 97526-3941

Mailing address

2011 SE Portola Dr
Grants Pass, OR 97526-3941
Phone (800) 524-6563

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1053755520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 SE PORTOLA DR",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975263941",
            "telephone_number": "800-524-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 SE PORTOLA DR",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975263941",
            "telephone_number": "800-524-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE TECHNOLOGY PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "800-524-6563",
        "authorized_official_credential": "ENG"
    },
    "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.