NPIMap

Organization Active NPI

Cape Prosthetics-Orthotics, Inc.

Doing business as NovaCare Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Poplar Bluff, MO
National Provider Identifier
1841265485
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CAPE PROSTHETICS-ORTHOTICS, INC.
Doing business as
NovaCare Prosthetics & Orthotics
Practice address
912 Ida St
Poplar Bluff, MO 63901-4210
Phone
(573) 778-9093
Fax
(573) 778-9094
NPI assigned
Feb 17, 2006
Last updated
May 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
John Duggan
Title
Chief Legal Officer
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

912 Ida St
Poplar Bluff, MO 63901-4210

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

Other identifiers 1

IdentifierTypeStateIssuer
628641607MedicaidMO

Other names 1

  • NovaCare Prosthetics & Orthotics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930050342 MO DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 4082731518 Practice locations: Poplar Bluff, MO

Other NPIs with the same Medicare PAC ID 3

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Novacare Prosthetics & Orthotics912 Ida St, Poplar Bluff, MO 63901-4210(573) 778-9093 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 2025

National Provider Directory

National Provider Directory
Tax ID family
Cape Girardeau Prosth L6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2355 Sweets Dr
Ste G
Carbondale, IL 62902
Phone (618) 457-4692

118 Airway Dr
Marion, IL 62959
Phone (618) 993-9779

2232 Broadway St
Paducah, KY 42001
Phone (270) 575-3223

3436A McKelvey Rd
Bridgeton, MO 63044
Phone (314) 231-1156

728 Sunset Dr
Farmington, MO 63640
Phone (573) 747-1144

912 Ida St
Poplar Bluff, MO 63901
Phone (573) 778-9093

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1841265485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 IDA ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014210",
            "telephone_number": "573-778-9093",
            "fax_number": "573-778-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE PROSTHETICS-ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628641607",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.