Adaptive Prosthetics & Orthotics, Inc

Key facts

NPI: 1295921682
Entity type: Organization (NPI type 2)
Primary specialty: Customized Equipment (DME) 332BC3200X
Legal business name: ADAPTIVE PROSTHETICS & ORTHOTICS, INC
Practice address: 4903 Macphelah Rd
Pascagoula, MS 39567-1849
Phone: (228) 769-0112
NPI assigned: Sep 19, 2007
Organization subpart: No

Authorized official

Name: Robert J Leaber III, CPO
Title: Owner / President
Phone: (228) 769-0112

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Alberto L Alvarez, CPO Orthotist · Gulfport, MS · NPI 1659869048

NPD

National Provider Directory

Locations

4903 Macphelah Rd
Pascagoula, MS 39567
Phone (228) 769-0112

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Customized Equipment (DME)	332BC3200X			Yes

Addresses

Primary practice location

4903 Macphelah Rd
Pascagoula, MS 39567-1849

Mailing address

PO Box 20622
Houma, LA 70360-0622

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 30, 2008.

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1295921682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20622",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703600622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 MACPHELAH RD",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395671849",
            "telephone_number": "228-769-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE PROSTHETICS & ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "LEABER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "228-769-0112",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

All providers in Pascagoula, MS · Customized Equipment (DME) in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2008. 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.