Advanced Prosthetic Design LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO01744 Issued in NY

Legal business name

ADVANCED PROSTHETIC DESIGN LLC

Practice address

1401 Stone Rd
Suite 201B
Rochester, NY 14615-1537

Phone

(585) 663-5860

Fax

(585) 663-5860

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Carrie Coles Gublo, P.T.NPI 1376701334

Title

President

Phone

(585) 663-5860

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Carrie Coles Gublo, P.T.

  • Physical Therapist
  • Rochester, NY
  • NPI 1376701334
  NPD Authorized official
• G Michael Gublo, CPO

  • Prosthetist
  • Rochester, NY
  • NPI 1083871669

  Orthotist

  NPD

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1083880900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MORNING GLORY LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264729",
            "telephone_number": "585-663-5860",
            "fax_number": "585-663-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 STONE RD",
            "address_2": "SUITE 201B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151537",
            "telephone_number": "585-663-5860",
            "fax_number": "585-663-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PROSTHETIC DESIGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "GUBLO",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "COLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-663-5860",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "CPO01744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Rochester, NY
• Providers in Rochester, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.