American Ortho-Tech Laboratories Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

POR142 Issued in FL

Legal business name

AMERICAN ORTHO-TECH LABORATORIES INC.

Doing business as

Restore POC

Practice address

1414 W Granada Blvd Ste 3
Ormond Beach, FL 32174-8104

Phone

(386) 258-0401

Fax

(386) 252-1013

NPI assigned

Jul 27, 2006

Last updated

May 4, 2023By 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

Janet Woodall

Title

Director, Contracting

Phone

(336) 397-0993

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Restore POC Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Level Four Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Charlotte, NC
  • NPI 1750663837

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1215951983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W GRANADA BLVD STE 3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748104",
            "telephone_number": "386-258-0401",
            "fax_number": "386-252-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W GRANADA BLVD STE 3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748104",
            "telephone_number": "386-258-0401",
            "fax_number": "386-252-1013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4809 Memorial Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336347515",
            "country_code": "US",
            "telephone_number": "813-386-7121",
            "fax_number": "813-386-7122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN ORTHO-TECH LABORATORIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "WOODALL",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "DIRECTOR, CONTRACTING",
        "authorized_official_telephone_number": "336-397-0993"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012202900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore POC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.