Reliable Prosthetics and Orthotics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

RELIABLE PROSTHETICS AND ORTHOTICS LLC

Practice address

12 Office Park Dr
Jacksonville, NC 28546-7325

Phone

(910) 353-9002

Fax

(910) 353-9003

NPI assigned

Feb 13, 2019

Last updated

Apr 21, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

RELIABLE PROSTHETICS AND ORTHOTICSAs reported in NPPES

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

Authorized official

Name

Mr. Nick M Frisoli

Title

Operations MGR.

Phone

(252) 638-8989

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Reliable Prosthetics and Orthotics LLC

Locations

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1548726797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467325",
            "telephone_number": "910-353-9002",
            "fax_number": "910-353-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467325",
            "telephone_number": "910-353-9002",
            "fax_number": "910-353-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE PROSTHETICS AND ORTHOTICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIABLE PROSTHETICS AND ORTHOTICS",
        "enumeration_date": "2019-02-13",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "FRISOLI",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATIONS MGR.",
        "authorized_official_telephone_number": "252-638-8989",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5686710001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.