THE FORMS BOUTIQUE, INC.
NPI 1689768376
Prosthetic/Orthotic Supplier in Columbia, SC

Q: What is The Forms Boutique, Inc.'s NPI number?

The NPI number for The Forms Boutique, Inc. is 1689768376. It was assigned to this organization in the NPPES registry on October 3, 2006.

Q: What is The Forms Boutique, Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since October 03, 2006

3308 FOREST DR, COLUMBIA, SC 29204(803) 738-8400(803) 738-8498 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About The Forms Boutique, Inc. NPPES

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

THE FORMS BOUTIQUE, INC. (NPI 1689768376) is a healthcare organization registered as a prosthetic/orthotic supplier in Columbia, South Carolina and active in the NPI registry since October 2006. The organization lists Amy D. Mclellan, President, as its authorized official.

NPPES Registry Identity

NPI1689768376

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameTHE FORMS BOUTIQUE, INC.

Location Address3308 FOREST DRColumbia, SC 29204-4024

Mailing Address3308 Forest DrColumbia, SC 29204-4024 · (803) 738-8400 · Fax (803) 738-8498

Phone(803) 738-8400

Fax(803) 738-8498

Organization SubpartNo

Authorized OfficialAmy D. MclellanPresident · (803) 799-7096

Enumeration DateOctober 3, 2006

Last NPPES UpdateMarch 17, 2020

NPPES CertifiedMarch 17, 2020

✔ NPI 1689768376 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.

3308 FOREST DR, Columbia, SC 29204

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Other Identifiers 1

Medicaid556570SC

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 The Forms Boutique, Inc.'s NPI number?

The NPI number for The Forms Boutique, Inc. is 1689768376. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is The Forms Boutique, Inc. located?

The Forms Boutique, Inc. is located at 3308 Forest Dr, Columbia, SC 29204. The listed phone number is (803) 738-8400.

What is The Forms Boutique, Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for The Forms Boutique, Inc. was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.