Healthcare Provider Details

I. General information

NPI: 1679583736
Provider Name (Legal Business Name): CAROLINA AMPUTEE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2760 TATE BOULEVARD SOUTH EAST
HICKORY NC
28602-1448
US

IV. Provider business mailing address

PO BOX 1152
NEWTON NC
28658
US

V. Phone/Fax

Practice location:
  • Phone: 828-441-2011
  • Fax: 828-441-2012
Mailing address:
  • Phone: 828-441-2011
  • Fax: 828-441-2012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License NumberCPO 02352
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberCPO 02352
License Number StateNC

VIII. Authorized Official

Name: MR. JOHN L RUFTY JR.
Title or Position: OWNER PRESIDENT
Credential: CPO
Phone: 828-441-2011