Organization Active NPI

Restorative Prosthetics & Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Daphne, AL
National Provider Identifier
1285020008
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
335E00000 Issued in AL
Legal business name
RESTORATIVE PROSTHETICS & ORTHOTICS LLC
Practice address
28080 US Highway 98 Ste G
Daphne, AL 36526-7012
Phone
(251) 654-6012
Fax
(251) 345-1138
NPI assigned
Apr 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 335E00000 AL Primary

Addresses

Primary practice location

28080 US Highway 98 Ste G
Daphne, AL 36526-7012

Mailing address

28080 US Highway 98 Ste G
Daphne, AL 36526-7012

National Provider Directory

National Provider Directory

Member organizations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1285020008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28080 US HIGHWAY 98 STE G",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28080 US HIGHWAY 98 STE G",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267012",
            "telephone_number": "251-654-6012",
            "fax_number": "251-345-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "RESTIVO",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-654-6012",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AL",
            "license": "335E00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.