Active NPI
Sumter Prosthetics & Orthotics LLC
- Prosthetic/Orthotic Supplier
- Sumter, SC
National Provider Identifier
1376891119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Columbia, SC
- NPI 1861813867
Member Of
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.