ADVANCED ORTHOTICS & PROSTHETICS CLINIC
NPI 1053593129
Durable Medical Equipment & Medical Supplies in Laurel, MS

Q: What is Advanced Orthotics & Prosthetics Clinic's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since November 30, 2007

434 S 13TH AVE, LAUREL, MS 39440(601) 649-0001(601) 649-0035 Get Directions Write a Review

NPPES record last updated: December 19, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Advanced Orthotics & Prosthetics Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED ORTHOTICS & PROSTHETICS CLINIC (NPI 1053593129) is a healthcare organization registered as a durable medical equipment & medical supplies in Laurel, Mississippi and active in the NPI registry since November 2007. The organization lists Matthew Manuel Carrillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1053593129

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameADVANCED ORTHOTICS & PROSTHETICS CLINIC

Location Address434 S 13TH AVELaurel, MS 39440-4345

Mailing AddressPo Box 6501Laurel, MS 39441-6501 · (601) 649-0001 · Fax (601) 649-0035

Phone(601) 649-0001

Fax(601) 649-0035

Organization SubpartNo

Authorized OfficialMatthew Manuel CarrilloOwner · (601) 649-0001

Enumeration DateNovember 30, 2007

Last NPPES UpdateDecember 19, 2007

✔ NPI 1053593129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

434 S 13TH AVE, Laurel, MS 39440

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Other Identifiers 2

Medicare NSC5276790001MS

Medicare NSC1053593129MS

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MATTHEW MANUEL CARRILLO OWNER

Specialist (Prosthetics Case Management)

434 S 13TH AVE
LAUREL, MS 39440

Jones County (601) 649-0001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Orthotics & Prosthetics Clinic's NPI number?

The NPI number for Advanced Orthotics & Prosthetics Clinic is 1053593129. It was assigned to this organization in the NPPES registry on November 30, 2007.

Where is Advanced Orthotics & Prosthetics Clinic located?

Advanced Orthotics & Prosthetics Clinic is located at 434 S 13th Ave, Laurel, MS 39440. The listed phone number is (601) 649-0001.

What is Advanced Orthotics & Prosthetics Clinic's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Advanced Orthotics & Prosthetics Clinic was last updated on December 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.