Healthcare Provider Details

I. General information

NPI: 1639362338
Provider Name (Legal Business Name): ABILITY PROSTHETICS & ORTHOTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2007
Last Update Date: 01/30/2020
Certification Date: 01/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 W LINCOLN HWY
EXTON PA
19341
US

IV. Provider business mailing address

660 W LINCOLN HWY
EXTON PA
19341-2514
US

V. Phone/Fax

Practice location:
  • Phone: 610-873-6733
  • Fax: 610-873-6735
Mailing address:
  • Phone: 610-873-6733
  • Fax: 610-873-6735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1009143300003
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: THOMAS CLAYTON BARROW
Title or Position: CIO
Credential:
Phone: 410-861-2446