ADAPTIVE LIMB & BRACE, LLC


Address: 1033 Wappoo Rd, Suite E, Charleston, SC 29407-6087
Phone: 8432250809

ADAPTIVE LIMB & BRACE, LLC (NPI# 1770774895) 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) 1770774895
Entity Type Organization
Organization Name ADAPTIVE LIMB & BRACE, LLC
Other Organization Name ADAPTIVE LIMB & BRACE
Practice Address 1033 Wappoo Rd
Suite E
Charleston
SC 29407-6087
Practice Telephone 8432250809
Practice Fax Number 8432789185
Mailing Telephone 8432250809
Mailing Fax Number 8432789185
Enumeration Date 2007-08-05
Last Update Date 2013-01-28
Authorized Official Name MR. WINFORD GRAVES GASPERSON (OWNER)
Authorized Official Telephone 8432250809
Authorized Official Credential CPO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier CPO1815 Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
SC DE3028 05

Other Provider/Organization Names

Other Name Type Code
Adaptive Limb & Brace Doing Business As Name - Organization

Office Location

Street Address 1033 WAPPOO RD
SUITE E
City CHARLESTON
State SC
Zip Code 29407-6087

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1316459753 David W Richardson Dentist 765 St. Andrews Blvd., Charleston, SC 29407 2017-10-25
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1467991901 Bernice Ladson Registered Nurse 75o Magnolia Road, Charleston, SC 29407 2017-02-16
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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
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1306350426 Musc Prosthetic Orthotic Services LLC Prosthetic/Orthotic Supplier 135 Rutledge Ave Fl 4, Charleston, SC 29425-8903 2017-11-28
1669893624 Carolina Orthotics and Prosthetics LLC Prosthetic/Orthotic Supplier 1331 Ashley River Rd Bldg C, Charleston, SC 29407-5315 2013-12-18
1174848485 Mcgrew Orthopedic, LLC Prosthetic/Orthotic Supplier 1301 Washington Street W, Charleston, WV 25302-1909 2010-03-30
1972747855 Carolina Orthotics and Prosthetics of Myrtle Beach LLC Prosthetic/Orthotic Supplier 285 Meeting St, Charleston, SC 29401-1550 2009-04-23
1982884433 Lehotay Prosthetics, LLC Prosthetic/Orthotic Supplier 624 Central Ave, Charleston, WV 25302-1912 2007-11-13
1548454242 C Howell Shoes Inc Prosthetic/Orthotic Supplier 1755 Sam Rittenberg Blvd, Charleston, SC 29407-4927 2007-09-05
1649203670 Charleston Orthopedic Appliances Inc Prosthetic/Orthotic Supplier 1532 Kanawha Blvd W, Charleston, WV 25312-2533 2006-07-10
1639124423 Mountain State Prosthetics, LLC Prosthetic/Orthotic Supplier 216 Brooks St, Suite 100, Charleston, WV 25301-1828 2006-05-23
1811968720 Active Mobility, LLC Prosthetic/Orthotic Supplier 18 Leinbach Dr, Unit E, Charleston, SC 29407-7916 2006-01-30
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Competitor

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City CHARLESTON
Zip Code 29407

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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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