Pal Metto Prosthetics and Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PAL METTO PROSTHETICS AND ORTHOTICS, INC.

Practice address

701 Medical Park Dr
Suite 106
Hartsville, SC 29550-4777

Phone

(843) 332-3291

Fax

(843) 332-3292

NPI assigned

Sep 13, 2010

Last updated

Jun 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John L Moyd, CPO

Title

Owner

Phone

(843) 332-3291

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Palmetto Prosthetics and Orthotics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Florence, SC
  • NPI 1033161773

  3779603550

  Same PAC ID

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

Tax ID family

Palmetto Prosthetics an2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Palmetto Prosthetics and Orthotics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Florence, SC
  • NPI 1033161773
  NPD tax ID

Locations

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1811204845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 W CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014446",
            "telephone_number": "843-673-9222",
            "fax_number": "843-673-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MEDICAL PARK DR",
            "address_2": "SUITE 106",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504777",
            "telephone_number": "843-332-3291",
            "fax_number": "843-332-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAL METTO PROSTHETICS AND ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "MOYD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-332-3291",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Ollis
• Omni Physical Therapy,Inc.
• Kristin Oneal
• Zsolt Peter Ori, MD
• Joni Sue Ovanna Budhram, M.D.
• Palmetto Counseling of Hartsville LLC
• Palmetto Family Medicine and Senior Care, LLC
• Palmetto Health - University of South Carolina Medical Group
• Palmetto Pathology
• Palmetto Wellness and Injury Center of Hartsville SC PA

• Prosthetic/Orthotic Supplier in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.