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ADAPTIVE LIMB & BRACE LLC NPI 1770774895


NPI Information

NPI: 1770774895
Provider Name: ADAPTIVE LIMB & BRACE, LLC

Doing Business As: ADAPTIVE LIMB & BRACE

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1033 WAPPOO RD
SUITE E
CHARLESTON, SC
ZIP 29407
Phone: (843) 225-0809
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ADAPTIVE LIMB & BRACE, LLC is a prosthetic orthotic supplier in Charleston, SC. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. ADAPTIVE LIMB & BRACE, LLC NPI is 1770774895. The provider is registered as an organization entity type.
The provider Is Doing Business As Adaptive Limb & Brace.

The provider's business location address is:

1033 WAPPOO RD
SUITE E
CHARLESTON, SC
ZIP 29407-087
Phone: (843) 225-0809
Fax: (843) 278-9185

The provider's authorized official is Winford Graves Gasperson .
The authorized official title is Owner and has the following contact phone number (843) 225-0809.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 1/28/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierCPO1815Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15995990001MEDICARE NSCSOUTH CAROLINA
2DE3028MEDICAIDSOUTH CAROLINA
3=========OTHERSOUTH CAROLINABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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