MEDICARE: ALABAMA PROSTHETICS AND ORTHOTICS, INC.

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	44	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	0163330001	OTHER	AL	MEDICARE NSC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	44	OTHER	AL	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356320428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALABAMA PROSTHETICS AND ORTHOTICS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 250048
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36125-0048
Country	:	US
Telephone Number	:	334-286-9919
Fax Number	:	334-286-9621

Provider Business Practice Location Address
First Line	:	1441 NARROW LANE PKWY
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36111-2654
Country	:	US
Telephone Number	:	334-286-9919
Fax Number	:	334-286-9621

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. MARY THERESE POWERS-WATTS
Credential	:	CPO, CPED
Telephone Number	:	334-286-9919

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	12/06/2016

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Directions to “ALABAMA PROSTHETICS AND ORTHOTICS, INC. ” Practice Location

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