ADAPTIVE TECHNOLOGIES LLC


Address: 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659
Phone: 9192316890

ADAPTIVE TECHNOLOGIES LLC (NPI# 1730140823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730140823
Entity Type Organization
Organization Name ADAPTIVE TECHNOLOGIES LLC
Practice Address 3224 Lake Woodard Dr
Suite 100
Raleigh
NC 27604-3659
Mailing Address 102 Woodmont Blvd
Suite 120
Nashville
TN 37205-2287
Practice Telephone 9192316890
Practice Fax Number 9192313490
Mailing Telephone 6155508774
Mailing Fax Number 6154545352
Enumeration Date 2006-03-29
Last Update Date 2017-10-10
Authorized Official Name AARON KRATOHVIL (CONTROLLER)
Authorized Official Telephone 6155508760
Is Organization Subpart Y
Parent Organization Name BULOW HOLDINGS, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NC 7795002 05
NC 7795073 05
NC 7795148 05
NC 7795074 05
NC 7704336 05
NC BLUE CROSS BLUE SHIELD 0414L 01
NC 7702039 05
NC 7795214 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356876445 Adaptive Technologies LLC Emergency Response System Companies 1823 S Eisenhower St, Wichita, KS 67209-2810 2017-04-26

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ADAPTIVE TECHNOLOGIES LLC 2665 Woodridge Chase, Canton, GA 30114-8916

Office Location

Street Address 3224 LAKE WOODARD DR
SUITE 100
City RALEIGH
State NC
Zip Code 27604-3659

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225562283 Rebekka Jonette Reets Orthotic Fitter 3224 Lake Woodard Dr, Raleigh, NC 27604-3659 2017-04-17
1588110563 Elizabeth Stuenkel Selgrade Orthotist 3224 Lake Woodard Dr, Raleigh, NC 27604-3659 2016-08-30
1750773651 Melanie Larsson Orthotist 3224 Lake Woodard Dr, Raleigh, NC 27604-3659 2015-03-02
1689917874 Christina P May Mastectomy Fitter 3224 Lake Woodard Dr, Raleigh, NC 27604-3659 2013-04-05
1053689042 Catherine J Adkins Prosthetist 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 2011-12-06
1831478247 Brian M Gold Orthotist 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 2011-08-16
1033267877 Brian Prout Orthotist 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 2007-01-08
1316095177 Terry Ether Orthotist 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 2007-01-08
1023166881 Eddie Vernon White Prosthetist 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 2007-01-08

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NPI Name Taxonomy Address Enumeration
1326669748 Monet Josey Counselor 3020 Highwood Blvd, Raleigh, NC 27604 2020-04-27
1154979094 Ride4health Transportation Inc Non-emergency Medical Transport (VAN) 3200 Capital Blvd, Raleigh, NC 27604 2019-09-03
1851890750 Sasilana Letreva Burden In Home Supportive Care 4000 Northstone Drive Apt 307, Raleigh, NC 27604 2018-02-06
1093226383 The Eye Institute Od, Pa Optometrist 111 Seaboard Ave Ste 110, Raleigh, NC 27604 2017-10-13
1902326044 Ngozi Ifeoma Osiebo Nurse Practitioner 4608 Wedgewood Drive, Raleigh, NC 27604 2017-06-20
1144765520 Rose Hill Family Care Home Custodial Care Facility 1705 Beacon Bluff Street, Raleigh, NC 27604 2016-12-21
1437609948 Mercy Manor At Saybrooke, Inc Custodial Care Facility 6320 Saybrooke Drive, Raleigh, NC 27604 2016-10-07
1972969913 Shivas Gilotra Nurse Practitioner 805 Oberlin Road, Ste 200, Raleigh, NC 27604 2016-01-06
1609247915 Charisse Justine Young Social Worker 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 2015-10-13
1356748933 John T Hart Counselor 1115-113 Cove Bridge Road, Raleigh, NC 27604 2014-11-26
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720529514 Lovely Hair Solutions Prosthetic/Orthotic Supplier 4701 Atlantic Ave, Raleigh, NC 27604-8108 2017-03-14
1316217359 Del Bianco Enterprises Prosthetic/Orthotic Supplier 3320 Executive Dr Ste 210, Raleigh, NC 27609-7445 2012-01-09
1710275417 Body Supports Unlimited LLC Prosthetic/Orthotic Supplier 2231 E Millbrook Rd, Suite 101, Raleigh, NC 27604-1746 2011-07-14
1902100159 Cdo Foot Solutions Raleigh, Inc. Prosthetic/Orthotic Supplier 8531 Brier Creek Pkwy Ste 113, Raleigh, NC 27617-2005 2011-01-03
1750614954 Romanus U Ani Prosthetic/Orthotic Supplier 4909 Alpinis Dr., Suite 101, Raleigh, NC 27616-1852 2009-09-08
1205042678 Bio-tech Prosthetics and Orthotics of Raleigh Prosthetic/Orthotic Supplier 3909 Sunset Ridge Rd Ste 103, Raleigh, NC 27607-6668 2007-05-15
1073661351 Cristina Sehestedt Prosthetic/Orthotic Supplier 5105 Moss Hill Dr, Raleigh, NC 27616-7883 2007-01-05
1346315553 North Carolina Orthotics & Prosthetics R Prosthetic/Orthotic Supplier 8451 Garvey Dr, Suite 108, Raleigh, NC 27616-3355 2006-11-22
1285740894 Professional Orthotics & Prosthetics, Inc. Prosthetic/Orthotic Supplier 5300 Atlantic Ave, Suite 101, Raleigh, NC 27609-1122 2006-08-23
1508820887 Orthopedic Service Co of Raleigh,inc Prosthetic/Orthotic Supplier 2521 Noblin Rd, Raleigh, NC 27604-2415 2006-04-14
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Competitor

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City RALEIGH
Zip Code 27604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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