MEDICARE: CAPE PROSTHETICS-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

General Provider Information

NPI Number	:	1437398377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPE PROSTHETICS-ORTHOTICS, INC

Provider Business Mailing Address
First Line	:	728 SUNSET DR
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-1988
Country	:	US
Telephone Number	:	573-747-1144
Fax Number	:	573-747-1143

Provider Business Practice Location Address
First Line	:	728 SUNSET DR
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-1988
Country	:	US
Telephone Number	:	573-747-1144
Fax Number	:	573-747-1143

Authorized Official
Title or Position	:	CHIEF LEGAL OFFICER
Name	:	JOHN DUGGAN
Credential	:
Telephone Number	:	717-972-1100

Provider Enumeration Date	:	02/17/2009
Last Update Date	:	10/20/2025

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