American Ortho-Tech Laboratories, Inc.

Key facts

NPI: 1265622781
Entity type: Organization (NPI type 2)
Primary specialty: Prosthetic/Orthotic Supplier 335E00000X
License: POR142 (FL)
Legal business name: AMERICAN ORTHO-TECH LABORATORIES, INC.
Practice address: 938 Saxon Blvd
103
Orange City, FL 32763-8305
Phone: (386) 775-1266
NPI assigned: Jul 31, 2007
Organization subpart: No

Authorized official

Name: Sarah Young
Title: Director of Contracting
Phone: (336) 397-0991

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 1922048313

NPD member Member Of

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Prosthetic/Orthotic Supplier	335E00000X	POR142	FL	Yes

Addresses

Primary practice location

938 Saxon Blvd
103
Orange City, FL 32763-8305

Mailing address

2534 Empire Dr
Winston Salem, NC 27103-6710
Phone (336) 397-2165

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 19, 2017.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1265622781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 EMPIRE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036710",
            "telephone_number": "336-397-2165",
            "fax_number": "336-397-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 SAXON BLVD",
            "address_2": "103",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638305",
            "telephone_number": "386-775-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ORTHO-TECH LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING",
        "authorized_official_telephone_number": "336-397-0991"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

All providers in Orange City, FL · Prosthetic/Orthotic Supplier in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.