Organization Active NPI

Carolina Prosthetics and Orthotics, Inc.

Doing business as Carolina Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Clinton, SC
National Provider Identifier
1447575113
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930093816 SC DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Orthotic Personnel 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.

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.