Active NPI
Carolina Prosthetics and Orthotics, Inc.
Doing business as Carolina Prosthetics and Orthotics
- Prosthetic/Orthotic Supplier
- Clinton, SC
National Provider Identifier
1447575113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- CAROLINA PROSTHETICS AND ORTHOTICS, INC.
- Doing business as
- Carolina Prosthetics and Orthotics
- Practice address
- 300 Plaza Cir
Suite E
Clinton, SC 29325-7557 - Phone
- (864) 938-0425
- Fax
- (864) 938-0427
- NPI assigned
- Apr 6, 2010
- Last updated
- Jul 20, 2010
- 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
- Tricia Ann McCrea
- Title
- VP
- Phone
- (864) 942-7001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
300 Plaza Cir
Suite E
Clinton, SC 29325-7557
Mailing address
110 Liner Dr
Greenwood, SC 29646-2310
Phone (864) 942-7001
Other names 1
- Carolina Prosthetics and Orthotics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930093816 | SC | DME Supplier - Medical Supply Company | 2163627019 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greenwood, SC |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Greenwood, SC
- NPI 1841490042
O20100930093816
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279584000000",
"number": "1447575113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LINER DR",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296462310",
"telephone_number": "864-942-7001",
"fax_number": "864-942-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PLAZA CIR",
"address_2": "SUITE E",
"city": "CLINTON",
"state": "SC",
"postal_code": "293257557",
"telephone_number": "864-938-0425",
"fax_number": "864-938-0427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA PROSTHETICS AND ORTHOTICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-06",
"last_updated": "2010-07-20",
"status": "A",
"authorized_official_last_name": "MCCREA",
"authorized_official_first_name": "TRICIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "864-942-7001"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolina Prosthetics and Orthotics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clinton, SC
- Carolina Counseling Associates of the Upstate
- Carolina Family Medicine of Laurens County PA
- Carolina Health Centers, Inc. (Carolina Health Centers at Laurens MHC)
- Carolina Health Centers, Inc. (HomeTown Pediatrics)
- Carolina Health Centers, Inc. (Laurens Community Care Medical Home Referral Center)
- Jessica Leopard Cauble, FNPC
- Preeti Luthra Chhatwal II, R.P.T.
- Julie Olson Childers, DMD
- Bethany Jo Davis Christie, BCBA
- Clear Skye Medical Holdings, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.