Anderson Prosthetics & Orthotics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ANDERSON PROSTHETICS & ORTHOTICS, LLC

Practice address

307 W Tremont Ave Ste 200
Charlotte, NC 28203-4902

Phone

(864) 225-1683

Fax

(864) 231-7374

NPI assigned

Oct 20, 2020

Last updated

Mar 30, 2021By 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

Micahel Corcoran, CPO

Title

President/Owner

Phone

(301) 585-5347

Specialties & licenses 1

Addresses

Tax ID family

Anderson Prosthetics Orthotics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Anderson Prosthetics & Orthotics, LLC

  dba ForMotion Clinic

  • Prosthetic/Orthotic Supplier
  • Anderson, SC
  • NPI 1245288745
  NPD tax ID

Locations

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1154920395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W TREMONT AVE STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034902",
            "telephone_number": "864-225-1683",
            "fax_number": "864-231-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W TREMONT AVE STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034902",
            "telephone_number": "864-225-1683",
            "fax_number": "864-231-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PROSTHETICS & ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "MICAHEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "301-585-5347",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison N Andersen, P.T.
• Danette Rachelle Andersen, IBCLC
• Kelly Andersen, FNP-BC
• Anderson Counseling and Consulting Group, PLLC
• Anderson Family Chiropractic, PLLC
• Tia Renee Anderson-Crowder, LPC-A
• Amy Rosemary Anderson, LCSW, LMSW
• Atiya Anderson
• Bonnie Y Anderson
• Briana Cherelle Anderson, NP

• Prosthetic/Orthotic Supplier in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.