Organization Active NPI

Adaptive Technologies LLC

  • Prosthetic/Orthotic Supplier
  • Raleigh, NC
National Provider Identifier
1730140823
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ADAPTIVE TECHNOLOGIES LLC
Practice address
3224 Lake Woodard Dr
Suite 100
Raleigh, NC 27604-3659
Phone
(919) 231-6890
Fax
(919) 231-3490
NPI assigned
Mar 29, 2006
Organization subpart
Yes
Parent organization
BULOW HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Bradford Gardner
Title
Coo
Phone
(615) 864-8783

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3224 Lake Woodard Dr
Suite 100
Raleigh, NC 27604-3659

Mailing address

102 Woodmont Blvd
Suite 120
Nashville, TN 37205-2287
Phone (615) 550-8774

National Provider Directory

National Provider Directory
Part of
Bulow Holdings LLC

Locations

3224 Lake Woodard Dr
Ste 100
Raleigh, NC 27604
Phone (919) 231-6890

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1730140823",
    "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": "372052287",
            "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": "3224 LAKE WOODARD DR",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043659",
            "telephone_number": "919-231-6890",
            "fax_number": "919-231-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE TECHNOLOGIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BULOW HOLDINGS, LLC",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "615-864-8783"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.