Healthcare Provider Details

I. General information

NPI: 1346059763
Provider Name (Legal Business Name): CAPE COD ORTHOPEDICS AND SPORTS MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2024
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 EDGERTON DR
NORTH FALMOUTH MA
02556-2821
US

IV. Provider business mailing address

130 NORTH ST STE A
HYANNIS MA
02601-3825
US

V. Phone/Fax

Practice location:
  • Phone: 508-775-8282
  • Fax:
Mailing address:
  • Phone: 508-775-8282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CASEY L ALEMAO
Title or Position: RCM DIRECTOR
Credential:
Phone: 508-775-8282