Organization Active NPI

Syracuse Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • East Syracuse, NY
National Provider Identifier
1316970411
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SYRACUSE ORTHOTICS, INC.
Practice address
6701 Manlius Center Rd
East Syracuse, NY 13057-2999
Phone
(315) 431-9400
Fax
(315) 431-9600
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Carrie L Stethers
Title
President
Phone
(315) 431-9400

Specialties & licenses 1

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

Addresses

Primary practice location

6701 Manlius Center Rd
East Syracuse, NY 13057-2999

Mailing address

6701 Manlius Center Rd
East Syracuse, NY 13057-2999
Phone (315) 431-9400

Other identifiers 1

IdentifierTypeStateIssuer
02603510MedicaidNY

National Provider Directory

National Provider Directory

Locations

6701 Manlius Center Rd
East Syracuse, NY 13057
Phone (315) 218-6377

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1316970411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 MANLIUS CENTER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572999",
            "telephone_number": "315-431-9400",
            "fax_number": "315-431-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 MANLIUS CENTER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572999",
            "telephone_number": "315-431-9400",
            "fax_number": "315-431-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "STETHERS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-431-9400"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02603510",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

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