Active NPI
Amputee Clinic, Inc.
- Prosthetic/Orthotic Supplier
- Fort Myers, FL
National Provider Identifier
1295730216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- AMPUTEE CLINIC, INC.
- Practice address
- 44 Barkley Cir
Fort Myers, FL 33907-7530 - Phone
- (239) 437-4010
- Fax
- (239) 437-4097
- NPI assigned
- Jun 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Avraham R Benhaim
- Title
- Owner
- Phone
- (239) 437-4010
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
44 Barkley Cir
Fort Myers, FL 33907-7530
Mailing address
44 Barkley Cir
Fort Myers, FL 33907-7530
Phone (239) 437-4010
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009939684 | Medicaid | AL | |
| 81750 | Other | MI | NORTHWOOD (BC/BS MI DME) |
| 204925600 | Other | TN | TVA |
| 8150 | Other | MI | NORTHWOOD |
| 1454256 | Medicaid | TN | |
| 52895744 001 | Other | GA | GEORGIA HEALTH PARTNERSHI |
| 1295730216 | Medicaid | VA | |
| 000914064A | Medicaid | GA | |
| 004016999 | Other | TN | BC/BS OF TN |
| 13125 | Other | TN | PHP, CARITEN, PHP TENNCAR |
| 4016999 | Other | TN | BC/BS TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120816000470 | FL | DME Supplier - Prosthetic Personnel | 8123274610 | Practice locations: Fort Myers, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Amputee Clinic Inc | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
44 Barkley Cir
Fort Myers, FL 33907
Phone (239) 437-4010
7051 Cypress Ter
Ste 108
Fort Myers, FL 33907
Phone (239) 437-4010
7331 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 485-8899
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/12285/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetist
- Fort Myers, FL
- NPI 1417406067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765411200000",
"number": "1295730216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 BARKLEY CIR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339077530",
"telephone_number": "239-437-4010",
"fax_number": "239-437-4097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 BARKLEY CIR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339077530",
"telephone_number": "239-437-4010",
"fax_number": "239-437-4097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMPUTEE CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-16",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A",
"authorized_official_last_name": "BENHAIM",
"authorized_official_first_name": "AVRAHAM",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-437-4010",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009939684",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHWOOD (BC/BS MI DME)",
"identifier": "81750",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TVA",
"identifier": "204925600",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHWOOD",
"identifier": "8150",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1454256",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA HEALTH PARTNERSHI",
"identifier": "52895744 001",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295730216",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000914064A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF TN",
"identifier": "004016999",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP, CARITEN, PHP TENNCAR",
"identifier": "13125",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS TN",
"identifier": "4016999",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.