NPIMap

Organization Active NPI

Cape Prosthetics-Orthotics, Inc.

Doing business as Standard Artificial Limb

  • Prosthetic/Orthotic Supplier
  • Swansea, IL
National Provider Identifier
1568436269
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
ST. CLAIR COUNTY Issued in ID
Legal business name
CAPE PROSTHETICS-ORTHOTICS, INC.
Doing business as
Standard Artificial Limb
Practice address
4010 N Illinois St
Route 159
Swansea, IL 62226-1946
Phone
(618) 235-5191
Fax
(618) 235-8304
NPI assigned
Feb 17, 2006
Last updated
Sep 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Dennis Fitzpatrick
Title
Cfo
Phone
(610) 644-7824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X ST. CLAIR COUNTY ID Primary

Addresses

Primary practice location

4010 N Illinois St
Route 159
Swansea, IL 62226-1946

Mailing address

1904 Olive St
Saint Louis, MO 63103-1626
Phone (314) 231-1156

Other identifiers 1

IdentifierTypeStateIssuer
62226-01MedicaidIL

Other names 1

  • Standard Artificial Limb Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carbondale Prosthetic L6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4010 N Illinois St
#159
Swansea, IL 62226
Phone (618) 235-5191

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1568436269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 OLIVE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031626",
            "telephone_number": "314-231-1156",
            "fax_number": "314-436-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 N ILLINOIS ST",
            "address_2": "ROUTE 159",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261946",
            "telephone_number": "618-235-5191",
            "fax_number": "618-235-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE PROSTHETICS-ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-644-7824"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "ID",
            "license": "ST. CLAIR COUNTY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62226-01",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Standard Artificial Limb",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.