NPIMap

Organization Active NPI

MJ Walk LLC

Doing business as Carolina-Walk Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Hardeeville, SC
National Provider Identifier
1265669857
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MJ WALK LLC
Doing business as
Carolina-Walk Orthotics and Prosthetics
Practice address
300 New River Pkwy
BLDG 6 Ste 12
Hardeeville, SC 29927-4450
Phone
(843) 707-1018
Fax
(843) 707-1016
NPI assigned
Jun 22, 2009
Last updated
Aug 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Clarence R Hooper Jr., CPO
Title
President
Phone
(843) 577-9577

Specialties & licenses 1

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

Addresses

Primary practice location

300 New River Pkwy
BLDG 6 Ste 12
Hardeeville, SC 29927-4450

Mailing address

3465 W Montague Ave
Suite 101
N Charleston, SC 29418-5938
Phone (843) 577-9577

Other names 1

  • Carolina-Walk Orthotics and Prosthetics Doing business as

National Provider Directory

National Provider Directory

Member organizations 10

Organizations listed as members of this organization in the National Provider Directory.

Locations

2210 Mossy Oaks Rd
Port Royal, SC 29935
Phone (843) 379-9047

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1265669857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 W MONTAGUE AVE",
            "address_2": "SUITE 101",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294185938",
            "telephone_number": "843-577-9577",
            "fax_number": "843-577-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY",
            "address_2": "BLDG 6 STE 12",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274450",
            "telephone_number": "843-707-1018",
            "fax_number": "843-707-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ WALK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-577-9577",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina-Walk Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hardeeville, SC

Sources for this page

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