MEDICARE: ABILITY PROSTHETIC SYSTEMS, 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	:	1649496134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITY PROSTHETIC SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	750 E 100 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-4107
Country	:	US
Telephone Number	:	801-328-9728
Fax Number	:	801-328-9788

Provider Business Practice Location Address
First Line	:	750 E 100 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-4107
Country	:	US
Telephone Number	:	801-328-9728
Fax Number	:	801-328-9788

Authorized Official
Title or Position	:	FOUNDER AND CLINICAL ADVISOR
Name	:	MR. THOMAS PASSERO
Credential	:	CP
Telephone Number	:	800-593-9318

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	06/08/2023

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