ADVANCED PROSTHETICS OF SPARTANBURG
NPI 1053625897
Prosthetic/Orthotic Supplier in Spartanburg, SC

Active since August 04, 2010
102 WILLOW LN, SPARTANBURG, SC 29307(864) 582-4411(864) 573-6717 Get Directions Write a Review

NPPES record last updated: August 25, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Advanced Prosthetics Of Spartanburg NPPES

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

ADVANCED PROSTHETICS OF SPARTANBURG (NPI 1053625897) is a healthcare organization registered as a prosthetic/orthotic supplier in Spartanburg, South Carolina and active in the NPI registry since August 2010. The organization lists Miriam Peters, Owner, as its authorized official.

NPPES Registry Identity

NPI1053625897
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameADVANCED PROSTHETICS OF SPARTANBURG
Location Address102 WILLOW LNSpartanburg, SC 29307-1343
Mailing Address102 Willow LnSpartanburg, SC 29307-1343 · (864) 582-4411 · Fax (864) 573-6717
Fax(864) 573-6717
Organization SubpartNo
Authorized OfficialMiriam PetersOwner · (864) 582-4411
Enumeration DateAugust 4, 2010
Last NPPES UpdateAugust 25, 2010
NPI 1053625897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

102 WILLOW LN, Spartanburg, SC 29307

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 42D2079061

Advanced Dermatology Of Sc Dba Westside Dermatology · Spartanburg, SC
Active · expires Feb 4, 2027
CLIA Number42D2079061
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorDr. Julie Jefferson
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology Of Sc Dba Westside Dermatology1650 Skylyn Drive Suite 402, Spartanburg, SC 29307
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

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

Prosthetic/Orthotic Supplier
102 WILLOW LN
SPARTANBURG, SC 29307
Massage Therapist
102 WILLOW LN
SPARTANBURG, SC 29307

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053625897, enumerated as an "organization" on August 04, 2010.

The provider is located at 102 WILLOW LN SPARTANBURG, SC 29307 and the phone number is (864) 582-4411.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.