Active NPI
Adaptive Prosthetics & Orthotics LLC
- Prosthetic/Orthotic Supplier
- Agawam, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- ADAPTIVE PROSTHETICS & ORTHOTICS LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110149041A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Prosthetic/Orthotic Supplier
- Norwich, CT
- NPI 1467994731
3173644036
-
- Prosthetic/Orthotic Supplier
- Glastonbury, CT
- NPI 1841488863
3173644036
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Adaptive Prosthetics & Orthotics LL | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Adaptive Prosthetics and Orthotics LLC
- 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.
-
- Prosthetic/Orthotic Supplier
- Norwich, CT
- NPI 1467994731
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
- 61 Cooper Street Operations LLC (Heritage Hall West)
- 65 Cooper Street Operations LLC (Heritage Hall South)
- A Dental Group
- Michael Scott Abrams, M.D.
- Renato Opura Acuna, PT
- Paulo Afonso, PT
- Agawam East Rehab and Nursing LLC
- Agawam Medical Supply Corp
- Agawam North Rehab and Nursing LLC
- Agawam Nursing LLC (Country Estates of Agawam)
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.