Organization Active NPI

Adaptive Technologies, LLC

  • Prosthetic/Orthotic Supplier
  • Wilson, NC
National Provider Identifier
1609960962
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ADAPTIVE TECHNOLOGIES, LLC
Practice address
2704 Wooten Blvd SW
Wilson, NC 27893
Phone
(252) 291-5858
Fax
(252) 291-5542
NPI assigned
Oct 3, 2006
Last updated
Oct 10, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
BULOW HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Aaron Kratohvil
Title
Controller
Phone
(615) 550-8760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

2704 Wooten Blvd SW
Wilson, NC 27893

Mailing address

102 Woodmont Blvd.
Suite 120
Nashville, TN 37205
Phone (615) 550-8774

Other identifiers 11

IdentifierTypeStateIssuer
7795002MedicaidNC
7795129MedicaidNC
7795148MedicaidNC
7795214MedicaidNC
7702039MedicaidNC
0414LOtherNCBLUE CROSS BLUE SHIELD
7704336MedicaidNC
7795259MedicaidNC
7795286MedicaidNC
7795074MedicaidNC
7795310MedicaidNC

National Provider Directory

National Provider Directory
Part of
Bulow Holdings LLC

Locations

2704 Wooten Blvd SW
Wilson, NC 27893
Phone (252) 291-5858

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1609960962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD.",
            "address_2": "SUITE 120",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37205",
            "telephone_number": "615-550-8774",
            "fax_number": "615-454-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 WOOTEN BLVD SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-291-5858",
            "fax_number": "252-291-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE TECHNOLOGIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BULOW HOLDINGS, LLC",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "KRATOHVIL",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "615-550-8760"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795002",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795129",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795148",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795214",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702039",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0414L",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704336",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795259",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795286",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795074",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795310",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.