Individual provider Active NPI

John Luther Rufty Jr., CPO

  • Orthotic Fitter
  • Hickory, NC
National Provider Identifier
1306175161
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
License
CPO02352 Issued in NC
Practice address
2760 Tate Blvd SE
Hickory, NC 28602-1448
Phone
(828) 441-2011
Fax
(828) 441-2012
NPI assigned
Dec 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X CPO02352 NC Primary

Addresses

Primary practice location

2760 Tate Blvd SE
Hickory, NC 28602-1448

Mailing address

PO Box 1152
Newton, NC 28658-1152
Phone (828) 441-2011

Other identifiers 1

IdentifierTypeStateIssuer
7795169MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CPO02352NCMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Amputee & Orthotics Inc Current Accepting new patients
Carolina Amputee Care Inc Orthotic Fitter Current Accepting new patients

Locations

2760 Tate Blvd SE
Hickory, NC 28602
Phone (828) 441-2011

1921 Tate Blvd SE
Hickory, NC 28602
Phone (828) 441-2011

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1306175161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1152",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286581152",
            "telephone_number": "828-441-2011",
            "fax_number": "828-441-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021448",
            "telephone_number": "828-441-2011",
            "fax_number": "828-441-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFTY",
        "first_name": "JOHN",
        "middle_name": "LUTHER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NC",
            "license": "CPO02352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795169",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.