Shoals Orthotics & Prosthetics,Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

78997 Issued in AL

Legal business name

SHOALS ORTHOTICS & PROSTHETICS,INC

Practice address

840 Florence Blvd
Florence, AL 35630-4871

Phone

(256) 764-8673

Fax

(256) 764-0872

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Stephen A Blackwell, C.P.O,L.PO

Title

President

Phone

(256) 764-8673

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Alabama Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Oxford, MS
  • NPI 1417096371

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1508852815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 FLORENCE BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304871",
            "telephone_number": "256-764-8673",
            "fax_number": "256-764-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 FLORENCE BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304871",
            "telephone_number": "256-764-8673",
            "fax_number": "256-764-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS ORTHOTICS & PROSTHETICS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-764-8673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O,L.PO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AL",
            "license": "78997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "0071305",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51054615",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000054615",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shoals Hospice LLC
• Shoals Neurology Clinic PC
• Shoals Obstetrics and Gynecology LLC
• Shoals Orthopedics and Sports Medicine
• Shoals Orthopedics, PC
• Shoals Pediatric Dentistry, P.C.
• Shoals Pediatric Group PC
• Shoals Senior Solutions
• Shoals Urological Associates PC
• Shoals Womens Health & Wellness, LLC

• Prosthetic/Orthotic Supplier in Florence, AL
• Providers in Florence, AL by specialty
• Prosthetic/Orthotic Supplier in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.