MEDICARE: AMERICAN 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	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730159245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN PROSTHETICS & ORTHOTICS, INC.

Provider Business Mailing Address
First Line	:	1250 NW 142ND ST
Second Line	:	SUITE 200
City	:	CLIVE
State	:	IA
Zip	:	50325-8346
Country	:	US
Telephone Number	:	515-224-0537
Fax Number	:	515-224-0491

Provider Business Practice Location Address
First Line	:	1414 NEBRASKA ST
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51105-1237
Country	:	US
Telephone Number	:	712-255-8913
Fax Number	:	712-255-0633

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RONALD W CHENEY
Credential	:	CPO
Telephone Number	:	515-224-0537

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	08/22/2020

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