Pro-Thotics Technology Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PRO-THOTICS TECHNOLOGY INC

Practice address

285 Sills Rd
Building 3 Suite D
East Patchogue, NY 11772-4869

Phone

(631) 569-5562

Fax

(631) 569-5565

NPI assigned

Nov 18, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John P Affenita

Title

President

Phone

(631) 569-5562

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1104808716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SILLS RD",
            "address_2": "BUILDING 3 SUITE D",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-569-5562",
            "fax_number": "631-569-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SILLS RD",
            "address_2": "BUILDING 3 SUITE D",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-569-5562",
            "fax_number": "631-569-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-THOTICS TECHNOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "AFFENITA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-569-5562",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02631941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Suzanne Port, LPN
• Tara Powell, MS, OTR/L
• Brian Powers, PA-C
• Tara Linette Poyner
• Prime Ortho Care LLC
• Procare Occupational Therapy and Physical Therapy, PLLC
• Professional Care Physical Therapy and Rehabilitation
• Professional Care Physical Therapy and Rehabilitation P.C
• Pros R US
• Cristina Monica Puiu, PT

• Prosthetic/Orthotic Supplier in East Patchogue, NY
• Providers in East Patchogue, 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 Sep 22, 2011; 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.