Absolute Orthotics and Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ABSOLUTE ORTHOTICS AND PROSTHETICS

Practice address

450 West Russell Street Suite 102
Fayetteville, NC 28301-5575

Phone

(910) 484-4900

Fax

(910) 484-4908

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Travis L Dessoffy, CPONPI 1376663534

Title

Ceo

Phone

(910) 484-4900

Specialties & licenses 1

Addresses

Other names 1

• AOP Other name

Practitioners 2

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

• Travis L Dessoffy, CPO

  • Prosthetist
  • Greenville, NC
  • NPI 1376663534
  NPD Authorized official
• Timothy Rahl Jr., CPA, CFO

  • Orthotic Fitter
  • Grand Rapids, MI
  • NPI 1083955256
  NPD

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1861146862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WEST RUSSELL STREET SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015575",
            "telephone_number": "910-484-4900",
            "fax_number": "910-484-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WEST RUSSELL STREET SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015575",
            "telephone_number": "910-484-4900",
            "fax_number": "910-484-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "DESSOFFY",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-484-4900",
        "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": [
        {
            "organization_name": "AOP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abigail Abrahamson, LMBT
• Kim Abrams, DPM
• Nathan Abramson, DMD
• Evelyn Abreu, ABAT
• Sheryl Abreu
• Absolutely Divine Home Care Agency, Inc.
• Fidaa Abudayeh
• Abundant Grace Home Health Services, LLC
• Abundant Living Home Care, LLC
• Academy1

• All providers in Fayetteville, NC
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.