MEDICARE: UNITED PROSTHETICS & ORTHOTICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225000000X	Orthotic Fitter
2	225X00000X	Occupational Therapist
3	224Z00000X	Occupational Therapy Assistant
4	222Z00000X	Orthotist
5	224L00000X	Pedorthist
6	225100000X	Physical Therapist
7	224P00000X	Prosthetist
8	225200000X	Physical Therapy Assistant
9	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1942621016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED PROSTHETICS & ORTHOTICS, LLC

Provider Business Mailing Address
First Line	:	709 B MEMORIAL DR.
Second Line	:
City	:	BESSEMER
State	:	AL
Zip	:	35022
Country	:	US
Telephone Number	:	205-276-6582
Fax Number	:

Provider Business Practice Location Address
First Line	:	709 MEMORIAL DR
Second Line	:	B
City	:	BESSEMER
State	:	AL
Zip	:	35022-6029
Country	:	US
Telephone Number	:	205-276-6582
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	REGINALD MAYS
Credential	:
Telephone Number	:	205-276-6582

Provider Enumeration Date	:	12/17/2013
Last Update Date	:	10/08/2014

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