Healthcare Provider Details

I. General information

NPI: 1700353059
Provider Name (Legal Business Name): ADAPTIVE PROSTHETICS & ORTHOTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2018
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 MEADOW STREET EXT STE 102
AGAWAM MA
01001-2019
US

IV. Provider business mailing address

90 NATIONAL DR STE 1
GLASTONBURY CT
06033-1247
US

V. Phone/Fax

Practice location:
  • Phone: 413-443-4431
  • Fax: 413-278-2239
Mailing address:
  • Phone: 860-633-7298
  • Fax: 860-659-1282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: IVAN SABEL
Title or Position: CEO
Credential:
Phone: 860-633-7298