Enable Orthotics & Prosthetics, LLC.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ENABLE ORTHOTICS & PROSTHETICS, LLC.

Practice address

521 E. Washington Street
Syracuse, NY 13202-1917

Phone

(315) 701-5712

Fax

(315) 701-5713

NPI assigned

Oct 10, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Keith E. Willis, GENERAL MANAGER

Title

General Manager

Phone

(315) 701-5712

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1497743983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E. WASHINGTON STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021917",
            "telephone_number": "315-701-5712",
            "fax_number": "315-701-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E. WASHINGTON STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021917",
            "telephone_number": "315-701-5712",
            "fax_number": "315-701-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENABLE ORTHOTICS & PROSTHETICS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "315-701-5712",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "GENERAL MANAGER"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.