CAROLINA ORTHOTICS AND PROSTHETICS LLC (NPI# 1801393319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801393319 |
Entity Type | Organization |
Organization Name | CAROLINA ORTHOTICS AND PROSTHETICS LLC |
Practice Address |
116 Broad St Sumter SC 29150-4237 |
Mailing Address |
3801 W Montague Ave Ste 100 North Charleston SC 29418-5983 |
Practice Telephone | 8038834356 |
Practice Fax Number | 8038834386 |
Mailing Telephone | 8435779577 |
Mailing Fax Number | 8437181438 |
Enumeration Date | 2018-04-11 |
Last Update Date | 2020-07-07 |
Authorized Official Name | CLARENCE RALPH HOOPER (PRESIDENT) |
Authorized Official Telephone | 8435779577 |
Authorized Official Credential | CPO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
1427676386 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 1108 N Jefferies Blvd, Walterboro, SC 29488-2730 | 2020-07-08 |
1457858961 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 115 Garner Rd, Spartanburg, SC 29303-3148 | 2018-04-11 |
1023439924 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 11871 Plaza Dr, Suite 6, Murrells Inlet, SC 29576-7450 | 2013-12-18 |
1588085583 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 1294 Professional Dr, Suite B, Myrtle Beach, SC 29577-5753 | 2013-12-18 |
1174944078 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 300 New River Pkwy Ste 12, Hardeeville, SC 29927-4454 | 2013-12-18 |
1669893624 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 1331 Ashley River Rd Bldg C, Charleston, SC 29407-5315 | 2013-12-18 |
1104801125 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 3465 W Montague Ave Ste 101, N Charleston, SC 29418-5938 | 2005-12-13 |
1275071235 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 10 Enterprise Blvd, Suite 206, Greenville, SC 29615-6301 | 2017-02-09 |
1861813867 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 1455 Harden Street Ext, Columbia, SC 29201-1755 | 2013-12-18 |
Street Address |
116 BROAD ST |
City | SUMTER |
State | SC |
Zip Code | 29150-4237 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497733497 | Advanced Care Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 116 Broad St, Sumter, SC 29150-4237 | 2006-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
Find all providers in zip 29150 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427667591 | Ashleigha Rogers | Prosthetic/Orthotic Supplier | 324 Manning Ave, Sumter, SC 29150-5763 | 2020-07-24 |
1376891119 | Sumter Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 259 A Broad St, Sumter, SC 29150-4146 | 2012-08-28 |
1871817916 | Fashion Wig Shop & Gifts LLC | Prosthetic/Orthotic Supplier | 540 Bultman Drive, Suite 3, Sumter, SC 29150-2592 | 2010-03-18 |
1497733497 | Advanced Care Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 116 Broad St, Sumter, SC 29150-4237 | 2006-01-09 |
1770573263 | Reliable Medical Equipment of South Carolina, LLC | Prosthetic/Orthotic Supplier | 246 Broad St, Sumter, SC 29150-4144 | 2005-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366056483 | C Marie Aesthetics | Prosthetic/Orthotic Supplier | 41f Goethe Rd, Bluffton, SC 29910-6001 | 2020-09-04 |
1124631056 | Dynesha Thomas | Prosthetic/Orthotic Supplier | 525 3rd Loop Rd Apt H, Florence, SC 29505-4706 | 2020-08-29 |
1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
1427676386 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 1108 N Jefferies Blvd, Walterboro, SC 29488-2730 | 2020-07-08 |
1881219616 | Glammed Studio | Prosthetic/Orthotic Supplier | 47 Bristlecone Ln, Elgin, SC 29045-9584 | 2020-06-08 |
1497374557 | Image Obsession LLC | Prosthetic/Orthotic Supplier | 1855 E Main St # Sr03, Spartanburg, SC 29307-2309 | 2020-04-09 |
1598394926 | Hair Replacement Systems and Hairstyles Usa Inc. | Prosthetic/Orthotic Supplier | 105 E Butler Rd Ste C, Mauldin, SC 29662-2100 | 2020-04-07 |
1851958284 | Richard A Katenhusen | Prosthetic/Orthotic Supplier | 181 Bluffton Rd Ste B104, Bluffton, SC 29910-6218 | 2019-05-21 |
1699261917 | Carolina Bone & Joint Pa | Prosthetic/Orthotic Supplier | 1 Wellness Blvd Ste 104, Irmo, SC 29063-2872 | 2018-07-10 |
1598259954 | Natural Wigs Store | Prosthetic/Orthotic Supplier | 1722 Broad River Rd Ste C, Columbia, SC 29210-7336 | 2018-06-19 |
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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.