Organization Active NPI

Independence Prosthetics-Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Philadelphia, PA
National Provider Identifier
1134482169
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
INDEPENDENCE PROSTHETICS-ORTHOTICS, INC.
Practice address
1500 S Christopher Columbus Blvd
Floor 2
Philadelphia, PA 19147-5504
Phone
(215) 271-9476
NPI assigned
Jun 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
John Horne
Title
President
Phone
(302) 369-9476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1500 S Christopher Columbus Blvd
Floor 2
Philadelphia, PA 19147-5504

Mailing address

31 Meadowood Dr
Newark, DE 19711-7202

National Provider Directory

National Provider Directory

Locations

1500 S Christopher Columbus Blvd
Ste 2
Philadelphia, PA 19147
Phone (215) 271-9476

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1134482169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MEADOWOOD DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CHRISTOPHER COLUMBUS BLVD",
            "address_2": "FLOOR 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191475504",
            "telephone_number": "215-271-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE PROSTHETICS-ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-369-9476"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.