Organization Active NPI

Prosthetic Orthotic Care Center,Inc

  • Prosthetic/Orthotic Supplier
  • Gastonia, NC
National Provider Identifier
1265515225
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROSTHETIC ORTHOTIC CARE CENTER,INC
Practice address
645 Cox Rd Ste a
Gastonia, NC 28054-0649
Phone
(704) 852-9823
Fax
(704) 853-1055
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Larry William Morton, CPO
Title
President
Phone
(704) 841-4388

Specialties & licenses 1

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

Addresses

Primary practice location

645 Cox Rd Ste a
Gastonia, NC 28054-0649

Mailing address

1352 Matthews Township Pkwy Ste 101
Matthews, NC 28105-4985
Phone (704) 841-4388

Other identifiers 1

IdentifierTypeStateIssuer
7701190MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1265515225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 MATTHEWS TOWNSHIP PKWY STE 101",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054985",
            "telephone_number": "704-841-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 COX RD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540649",
            "telephone_number": "704-852-9823",
            "fax_number": "704-853-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC ORTHOTIC CARE CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-841-4388",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701190",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.