MEDICARE: CAPITAL ORTHOTICS & PROSTHETICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	1250850001	OTHER	NH	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1209857Y0NH01	OTHER	NH	ANTHEM
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	703776	OTHER	NH	HARVARD PILGRIM

General Provider Information

NPI Number	:	1053398867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL ORTHOTICS & PROSTHETICS, LLC

Provider Business Mailing Address
First Line	:	246 PLEASANT ST
Second Line	:	SUITE 200
City	:	CONCORD
State	:	NH
Zip	:	03301-2548
Country	:	US
Telephone Number	:	603-226-0101
Fax Number	:	603-226-0845

Provider Business Practice Location Address
First Line	:	246 PLEASANT ST
Second Line	:	SUITE 200
City	:	CONCORD
State	:	NH
Zip	:	03301-2548
Country	:	US
Telephone Number	:	603-226-0101
Fax Number	:	603-226-0845

Authorized Official
Title or Position	:	C.O./OWNER
Name	:	MR. GEORGE T ROGERS
Credential	:	C.O.
Telephone Number	:	603-226-0106

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	11/12/2014

Similar Medicare Providers

1710349840 — DR. BLAKE T LEAVITT MD
Practice Location Address:

246 PLEASANT ST STE 206
CONCORD, NH
03301-2548

Practice Phone: 603-415-6685
Practice Fax: 603-227-7583

1508860552 — MATTHEW J GUTIERREZ MD
Practice Location Address:

246 PLEASANT STREET MEMORIAL BUILDING, WEST, GROUND FLO
CONCORD, NH
03301-2548

Practice Phone: 603-224-6070
Practice Fax: 603-224-6094

1639175110 — FANARIAN ENTERPRISES LLC
Practice Location Address:

246 PLEASANT ST STE 100 , STE 100
CONCORD, NH
03301-2548

Practice Phone: 603-226-4848
Practice Fax: 603-228-7351

1912991423 — GERALD L SARDELLA MD FACS
Practice Location Address:

246 PLEASANT ST , SUITE 103
CONCORD, NH
03301-2548

Practice Phone: 603-224-1725
Practice Fax: 603-224-6094

1902892110 — ANASTASIOS KONSTANTAKOS MD
Practice Location Address:

246 PLEASANT ST
CONCORD, NH
03301-2548

Practice Phone: 603-224-1725
Practice Fax: 603-227-7557

1982693040 — STEVEN GEORGE ALEXAKOS PA-C
Practice Location Address:

246 PLEASANT ST , MEMORIAL BUILDING, WEST, FLOOR 1
CONCORD, NH
03301-2548

Practice Phone: 603-224-3388
Practice Fax: 603-227-7536

Directions to “CAPITAL ORTHOTICS & PROSTHETICS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.