Robert Tardell, CFO, CFTS

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

CFO02450 Issued in NC

Practice address

350 Jake Alexander Blvd W
Suite 102
Salisbury, NC 28147-1317

Phone

(704) 633-4000

Fax

(704) 633-4200

NPI assigned

Jul 20, 2007

Last updated

Nov 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Prosthetics & Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Salisbury, NC
  • NPI 1295043826
  NPD (past)

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1619177334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 JAKE ALEXANDER BLVD W",
            "address_2": "SUITE 102",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471317",
            "telephone_number": "704-633-4000",
            "fax_number": "704-633-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JAKE ALEXANDER BLVD W",
            "address_2": "SUITE 102",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471317",
            "telephone_number": "704-633-4000",
            "fax_number": "704-633-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDELL",
        "first_name": "ROBERT",
        "credential": "CFO, CFTS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NC",
            "license": "CFO02450",
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NC",
            "license": "CFTS1014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795098",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya G Williams
• Tar Heel Habilitation Services LLC (Tar Heel Day Services & Respite Division)
• Tar Heel Habilitation Services, LLC
• Tar Heel Habilitation Services, LLC (John's House)
• Aaron Keith Tarbett, OD
• Katherine Tate, PHARM.D.
• Corsica Taylor, LCSW
• Jennifer Marie Taylor
• Jerrold Arnos Taylor II
• Ladsine Taylor, M.S.N. APRN, BC

• Orthotic Fitter in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Orthotic Fitter in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.