Active NPI
Advanced Orthotics and Prosthetics
- Prosthetic/Orthotic Supplier
- Myrtle Beach, SC
National Provider Identifier
1811140940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ADVANCED ORTHOTICS AND PROSTHETICS
- Practice address
- 316 79TH Ave N
Myrtle Beach, SC 29572-4304 - Phone
- (843) 206-3777
- NPI assigned
- Nov 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Phillipe Ramon Cartaya, CPO
- Title
- Owner/P5Resident
- Phone
- (843) 206-3777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
316 79TH Ave N
Myrtle Beach, SC 29572-4304
Mailing address
316 79TH Ave N
Myrtle Beach, SC 29572-4304
Phone (843) 206-3777
National Provider Directory
National Provider DirectoryLocations
316 79th Ave N
Myrtle Beach, SC 29572
Phone (843) 206-3777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225670400000",
"number": "1811140940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 79TH AVE N",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724304",
"telephone_number": "843-206-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 79TH AVE N",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724304",
"telephone_number": "843-206-3777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED ORTHOTICS AND PROSTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-03",
"last_updated": "2008-11-03",
"status": "A",
"authorized_official_last_name": "CARTAYA",
"authorized_official_first_name": "PHILLIPE",
"authorized_official_middle_name": "RAMON",
"authorized_official_title_or_position": "OWNER/P5RESIDENT",
"authorized_official_telephone_number": "843-206-3777",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
- Advanced Medical Solution 1 LLC
- Advanced Medical Solutions
- Advanced Medical Solutions II, LLC
- Advanced MSK Medical LLC
- Advanced Optometry Kerry M Reeves OD SC
- Advanced Practice Mental Health and Wellness of South Carolina L.L.C.
- Advantage Health Center, LLC
- Aesthetic Medical Center,LLC
- Aesthetic Smiles of Myrtle Beach
- Affectionately Devoted Home Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.