MEDICARE: APPLIED ORTHOTICS AND PROSTHETICS

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		CA

General Provider Information

NPI Number	:	1720068000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLIED ORTHOTICS AND PROSTHETICS

Provider Business Mailing Address
First Line	:	455 OCONNOR DR STE 360
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1646
Country	:	US
Telephone Number	:	408-358-9741
Fax Number	:	408-358-1281

Provider Business Practice Location Address
First Line	:	455 OCONNOR DR STE 360
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1646
Country	:	US
Telephone Number	:	408-358-9741
Fax Number	:	408-358-1281

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JONATHAN SMITH
Credential	:	CPO
Telephone Number	:	408-358-9741

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	04/13/2026

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