Alabama Orthotics & Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ALABAMA ORTHOTICS & PROSTHETICS, INC.

Doing business as

Mississippi Orthotics & Prosthetics, Inc.

Practice address

1501 Cliff Gookin Blvd
Tupelo, MS 38801-6401

Phone

(662) 841-9473

Fax

(662) 841-1917

NPI assigned

Sep 22, 2005

Last updated

Jan 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bernice Swanson

Title

President

Phone

(256) 536-5625

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MISSISSIPPI ORTHOTICS & PROSTHETICS, INC. Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Alabama Orthotics & Prosthetics,Inc.

  • Prosthetic/Orthotic Supplier
  • Huntsville, AL
  • NPI 1376539874

  5193842862

  Same PAC ID
• Alabama Orthotics & Prosthetics,Inc.

  • Prosthetic/Orthotic Supplier
  • Decatur, AL
  • NPI 1548256621

  5193842862

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Shoals Orthotics & Prosthetics,Inc

  • Prosthetic/Orthotic Supplier
  • Florence, AL
  • NPI 1508852815

  Member Of

  NPD member

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1093701393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 CLIFF GOOKIN BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016401",
            "telephone_number": "662-841-9473",
            "fax_number": "662-841-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CLIFF GOOKIN BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016401",
            "telephone_number": "662-841-9473",
            "fax_number": "662-841-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-536-5625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000040257",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISSISSIPPI ORTHOTICS & PROSTHETICS, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nikki Aguero
• Ali Ahmad, M.D.
• Samah Salih Abdalla Ahmed
• Henrietta Akunne, MD
• Reem Al-Abed Alqader
• Timothy Allen Albers, MD
• Charles Steven Albright, OTR/L
• Emma Albritton
• Gabrielle M Alexander, MD
• Joseph Morris Alexander, PHD

• Prosthetic/Orthotic Supplier in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Prosthetic/Orthotic Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.