MEDICARE: CAPE 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

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

General Provider Information

NPI Number	:	1841265485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPE PROSTHETICS-ORTHOTICS, INC.

Provider Business Mailing Address
First Line	:	4714 GETTYSBURG RD
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17055-4325
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	912 IDA ST
Second Line	:
City	:	POPLAR BLUFF
State	:	MO
Zip	:	63901-4210
Country	:	US
Telephone Number	:	573-778-9093
Fax Number	:	573-778-9094

Authorized Official
Title or Position	:	CHIEF LEGAL OFFICER
Name	:	JOHN DUGGAN
Credential	:
Telephone Number	:	717-972-1100

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	05/19/2026

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Directions to “CAPE PROSTHETICS-ORTHOTICS, INC. ” Practice Location

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