Active Orthoticsprosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CP2482 Issued in FL

Legal business name

ACTIVE ORTHOTICSPROSTHETICS

Practice address

3801 Bee Ridge Rd
Suite 4
Sarasota, FL 34233-1166

Phone

(941) 925-2720

Fax

(941) 925-2294

NPI assigned

Apr 11, 2007

Last updated

Oct 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Geoffrey Dean Cleall, C.P.NPI 1952305856

Title

President

Phone

(941) 925-2720

Specialties & licenses 1

Addresses

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.

• Geoffrey Dean Cleall, CP

  • Prosthetist
  • Sarasota, FL
  • NPI 1952305856
  Authorized official Same address or phone

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1316161672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BEE RIDGE RD",
            "address_2": "SUITE 4",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331166",
            "telephone_number": "941-925-2720",
            "fax_number": "941-925-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BEE RIDGE RD",
            "address_2": "SUITE 4",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331166",
            "telephone_number": "941-925-2720",
            "fax_number": "941-925-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE ORTHOTICSPROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "CLEALL",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-925-2720",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "CP2482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.