Individual provider Active NPI

James R. Fenton, CPO

  • Prosthetist
  • Port St Lucie, FL
National Provider Identifier
1760489868
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
POR61 Issued in FL
Practice address
1701 SE Hillmoor Dr C-13
Port St. Lucie, FL 34952-7552
Phone
(772) 337-7378
Fax
(772) 337-1742
NPI assigned
Jul 5, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X POR61 FL
Prosthetist 224P00000X POR61 FL Primary

Addresses

Primary practice location

1701 SE Hillmoor Dr C-13
Port St. Lucie, FL 34952-7552

Mailing address

1701 SE Hillmoor Dr C-13
Port St. Lucie, FL 34952-7552
Phone (772) 337-7378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
POR61FLMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotic & Prosthetic Clinic Inc Orthotist Current Accepting new patients
Orthotic & Prosthetic Clinic Inc Orthotist Current Accepting new patients

Locations

1701 SE Hillmoor Dr
Ste C13
Port St Lucie, FL 34952
Phone (772) 337-7378

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760489868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR C-13",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-337-7378",
            "fax_number": "772-337-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR C-13",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-337-7378",
            "fax_number": "772-337-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "JAMES",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "FL",
            "license": "POR61",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "FL",
            "license": "POR61",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.