Organization Active NPI

Sumter Prosthetics & Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Sumter, SC
National Provider Identifier
1376891119
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SUMTER PROSTHETICS & ORTHOTICS LLC
Practice address
259 A Broad St
Sumter, SC 29150-4146
Phone
(803) 883-4356
Fax
(803) 883-4386
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Authorized official

Name
C Ralph Hooper Jr., CPO
Title
Ceo
Phone
(843) 577-9577

Specialties & licenses 1

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

Addresses

Primary practice location

259 A Broad St
Sumter, SC 29150-4146

Mailing address

3801 W Montague Ave Ste 100
N Charleston, SC 29418-5938
Phone (843) 577-9577

Other names 1

  • Carolina Orthotics and Prosthetics LLC Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

259 Broad St
#A
Sumter, SC 29150
Phone (440) 554-4601

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1376891119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 W MONTAGUE AVE STE 100",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294185938",
            "telephone_number": "843-577-9577",
            "fax_number": "843-718-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 A BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504146",
            "telephone_number": "803-883-4356",
            "fax_number": "803-883-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-577-9577",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Orthotics and Prosthetics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.