Organization Active NPI

Restorative Prosthetics & Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Mobile, AL
National Provider Identifier
1215374384
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
RESTORATIVE PROSTHETICS & ORTHOTICS LLC
Practice address
3456 Spring Hill Ave
Ste19
Mobile, AL 36608-1523
Phone
(251) 654-6012
Fax
(251) 345-1138
NPI assigned
May 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Mr. Edmond J Restivo Jr.NPI 1043558976
Title
C.P.O.
Phone
(251) 654-6012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3456 Spring Hill Ave
Ste19
Mobile, AL 36608-1523

Mailing address

3456 Spring Hill Ave
Ste19
Mobile, AL 36608-1523

National Provider Directory

National Provider Directory

Locations

921 Lakeside Dr
Mobile, AL 36693
Phone (251) 654-6012

3456 Spring Hill Ave
Ste 19
Mobile, AL 36608
Phone (251) 605-2529

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1215374384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 SPRING HILL AVE",
            "address_2": "STE19",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 SPRING HILL AVE",
            "address_2": "STE19",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081523",
            "telephone_number": "251-654-6012",
            "fax_number": "251-345-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "RESTIVO",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "C.P.O.",
        "authorized_official_telephone_number": "251-654-6012",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.