Uab Orthotics Lab

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

UAB ORTHOTICS LAB

Practice address

1717 6TH Ave South
Birmnigham, AL 35233

Phone

(205) 934-3531

NPI assigned

Jun 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reid F Jones

Title

Exec VP

Phone

(205) 731-9770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• University of Alabama Health Services Foundation, PC

  • Prosthetic/Orthotic Supplier
  • Birmingham, AL
  • NPI 1841380086

  O20100930062128

  Same enrollment

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669416731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55309",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555309",
            "telephone_number": "205-731-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 6TH AVE SOUTH",
            "city": "BIRMNIGHAM",
            "state": "AL",
            "postal_code": "35233",
            "telephone_number": "205-934-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UAB ORTHOTICS LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "REID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXEC VP",
        "authorized_official_telephone_number": "205-731-9770"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.