MEDICARE: ORTHOPRO, 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	157	AL

General Provider Information

NPI Number	:	1831369404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPRO, INC

Provider Business Mailing Address
First Line	:	1812 28TH AVE S
Second Line	:	SUITE B
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-2602
Country	:	US
Telephone Number	:	205-879-8861
Fax Number	:	205-879-8227

Provider Business Practice Location Address
First Line	:	1812 28TH AVE S
Second Line	:	SUITE B
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-2602
Country	:	US
Telephone Number	:	205-879-8861
Fax Number	:	205-879-8227

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. ROBERT SPENCER SAPPINGTON III
Credential	:
Telephone Number	:	205-965-5490

Provider Enumeration Date	:	03/10/2008
Last Update Date	:	03/10/2008

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Directions to “ORTHOPRO, INC ” Practice Location

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