Arch Rivals Orthotics LLC

Key facts

NPI

1407263148

Entity type

Organization (NPI type 2)

Primary specialty

Prosthetic/Orthotic Supplier 335E00000X

License

4621650 (GA)

Legal business name

ARCH RIVALS ORTHOTICS LLC

Practice address

601 E General Stewart Way
Hinesville, GA 31313-2627

Phone

(912) 355-4557

NPI assigned

Jul 15, 2014

Organization subpart

No

Authorized official

Name

Dr. Melissa Robitaille

Title

Owner

Phone

(912) 355-4557

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 28, 2014.

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1407263148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 WARNELL DR",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313244823",
            "telephone_number": "912-355-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E GENERAL STEWART WAY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132627",
            "telephone_number": "912-355-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH RIVALS ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "ROBITAILLE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-355-4557",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "4621650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Hinesville, GA · Prosthetic/Orthotic Supplier in Georgia