Healthcare Provider Details

I. General information

NPI: 1669721742
Provider Name (Legal Business Name): INFINITY ORTHOTICS & PROSTHETICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2012
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 FRANKLIN ST SE
HUNTSVILLE AL
35801-4333
US

IV. Provider business mailing address

909 FRANKLIN ST SE
HUNTSVILLE AL
35801-4333
US

V. Phone/Fax

Practice location:
  • Phone: 256-539-7997
  • Fax: 256-539-7991
Mailing address:
  • Phone: 256-539-7997
  • Fax: 256-539-7991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number8149
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: RYAN COWLEY
Title or Position: OWNER
Credential:
Phone: 256-503-9414