MEDICARE: CAPITAL PROSTHETICS & ORTHOTICS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578510475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL PROSTHETICS & ORTHOTICS, INC.

Provider Business Mailing Address
First Line	:	3465 W MONTAGUE AVE STE 101
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29418-5938
Country	:	US
Telephone Number	:	843-577-9577
Fax Number	:	843-577-9574

Provider Business Practice Location Address
First Line	:	1455 HARDEN STREET EXT
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-1755
Country	:	US
Telephone Number	:	843-577-9577
Fax Number	:	843-577-9574

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. C RALPH HOOPER JR
Credential	:	C.P.O.
Telephone Number	:	843-577-9577

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	08/08/2012

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Directions to “CAPITAL PROSTHETICS & ORTHOTICS, INC. ” Practice Location

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