MEDICARE: ASPIRE 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		PA

General Provider Information

NPI Number	:	1447738596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPIRE PROSTHETICS & ORTHOTICS INC.

Provider Business Mailing Address
First Line	:	506 GREENBRIAR RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17404-1335
Country	:	US
Telephone Number	:	717-430-6100
Fax Number	:	717-347-6566

Provider Business Practice Location Address
First Line	:	180 LEADERS HEIGHTS RD UNIT 13
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-4742
Country	:	US
Telephone Number	:	717-430-6100
Fax Number	:	717-347-6566

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	KNITTEL KOFI ANSA
Credential	:
Telephone Number	:	717-430-6100

Provider Enumeration Date	:	08/01/2018
Last Update Date	:	08/01/2018

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