Organization Active NPI

Adaptive Prosthetics & Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Agawam, MA
National Provider Identifier
1700353059
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ADAPTIVE PROSTHETICS & ORTHOTICS LLC
Practice address
540 Meadow Street Ext Ste 102
Agawam, MA 01001-2019
Phone
(413) 443-4431
Fax
(413) 278-2239
NPI assigned
Oct 25, 2018
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAPTIVE PROSTHETICS & ORTHOTICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Ivan Sabel
Title
Ceo
Phone
(860) 633-7298

Specialties & licenses 1

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

Addresses

Primary practice location

540 Meadow Street Ext Ste 102
Agawam, MA 01001-2019

Mailing address

90 National Dr Ste 1
Glastonbury, CT 06033-1247
Phone (860) 633-7298

Other identifiers 1

IdentifierTypeStateIssuer
110149041AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181231001609 MA DME Supplier - Certified Orth/Pros/Pedorthist 3173644036 Practice locations: Pittsfield, MA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Adaptive Prosthetics & Orthotics LL540 Meadow Street Ext, Agawam, MA 01001-2019(413) 443-4431 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Feb 20, 2019

National Provider Directory

National Provider Directory
Tax ID family
Adaptive Prosthetics and Orthotics LLC2 organizations share this tax ID, including this one
Part of
Adaptive Prosthetics and Orthotics LLC

Other organizations with this tax ID 1

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

Locations

540 Meadow Street Ext
Ste 102
Agawam, MA 01001
Phone (413) 443-4431

75 S Church St
Ste 401
Pittsfield, MA 01201
Phone (413) 443-4431

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1700353059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 NATIONAL DR STE 1",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331247",
            "telephone_number": "860-633-7298",
            "fax_number": "860-659-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MEADOW STREET EXT STE 102",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012019",
            "telephone_number": "413-443-4431",
            "fax_number": "413-278-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAPTIVE PROSTHETICS & ORTHOTICS LLC",
        "enumeration_date": "2018-10-25",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "SABEL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-633-7298"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110149041A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Agawam, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.