Adaptive Prosthetic and Orthotic Technologies, Inc.
Organization Active NPI Prosthetic/Orthotic Supplier · Brockton, MA
NPI 1114095544 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1114095544
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- ADAPTIVE PROSTHETIC AND ORTHOTIC TECHNOLOGIES, INC.
- Practice address
- 190 Quincy Ave
Brockton, MA 02302-2803 - Phone
- (508) 587-7300
- Fax
- (508) 587-7330
- NPI assigned
- Dec 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Richard Jason Butler, CPO
- Title
- Director
- Phone
- (508) 587-7300
Practitioners 5
-
Amanda Butler, CPO
-
Richard Jason Butler, CPO
-
Barry A Finn, MD
-
Nader H Balba, MD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Adaptive Prosthetic and Orthotic Te |
Neuromuscular Elect Stimulators (NMES)/Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930047331 | MA | DME Supplier - Orthotic Personnel |
7012111305 | Practice locations: Brockton, MA |
National Provider Directory
Locations
190 Quincy Ave
Brockton, MA 02302
Phone (508) 587-1960
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
190 Quincy Ave
Brockton, MA 02302-2803
Mailing address
190 Quincy Ave
Brockton, MA 02302-2803
Phone (508) 587-7300
Other providers in Brockton, MA
- Marybeth Adams-Khoury
- Alicemary Aspell Adams
- Amy Leadbetter Adams
- Rhashida Adams
- Susanne Adams
- Stephen R. Addington
- Dorcas Oyebisi Adeniyi
- Melissa C Lee Adigun
- Valerie Rachelle Adjorlolo
- Richard Patrick Adkins
All providers in Brockton, MA · Prosthetic/Orthotic Supplier in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.