MEDICARE: ADVANCED 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	335E00000X	TN

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477763332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PROSTHETICS AND ORTHOTICS INC

Provider Business Mailing Address
First Line	:	6515 POPLAR AVE STE 112
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-4878
Country	:	US
Telephone Number	:	901-795-1776
Fax Number	:	901-795-1738

Provider Business Practice Location Address
First Line	:	6515 POPLAR AVE STE 112
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-4878
Country	:	US
Telephone Number	:	901-795-1776
Fax Number	:	901-795-1738

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MARCUS BAKER
Credential	:	CPO/L
Telephone Number	:	901-795-1776

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	10/29/2025

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Directions to “ADVANCED PROSTHETICS AND ORTHOTICS INC ” Practice Location

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