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ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP
NPI 1891354197
Prosthetic/Orthotic Supplier in Albuquerque, NM

Active since June 10, 2019
124 ALVARADO DR SE, ALBUQUERQUE, NM 87108(505) 266-1700(505) 349-5170 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2023, Jan 23, 2023, Jan 10, 2020 and 1 more (4 updates tracked since 2019).

About Active Life Orthotics And Prosthetics Corp NPPES

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

ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP (NPI 1891354197) is a healthcare organization registered as a prosthetic/orthotic supplier in Albuquerque, New Mexico and active in the NPI registry since June 2019. The organization lists Pallavi Nemani, Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1891354197
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP
Location Address124 ALVARADO DR SEAlbuquerque, NM 87108-2940
Mailing Address124 Alvarado Dr SeAlbuquerque, NM 87108-2940 · (505) 266-1700
Phone(505) 266-1700
Fax(505) 349-5170
Organization SubpartNo
Authorized OfficialPallavi NemaniCompliance Officer · (512) 552-6311
Enumeration DateJune 10, 2019
Last NPPES UpdateDecember 14, 20234 updates tracked since enumeration
NPPES CertifiedDecember 14, 2023
✔ NPI 1891354197 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.
124 ALVARADO DR SE, Albuquerque, NM 87108
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Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Active Life Orthotics & Prosthetics carries, from the Medicare DMEPOS supplier directory.

Active Life Orthotics & Prosthetics

DMEPOS supplier · Albuquerque, NMOperated by Active Life Orthotics And Prosthetics Corp.
⋮

Does not accept Medicare assignment

Active Life Orthotics & Prosthetics has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20455589
Medicare Participant SinceApril 16, 2018
Supplier Location124 Alvarado Dr SEAlbuquerque, NM 87108
Phone(505) 266-1700
Provider TypeCertified Orth/Pros/Pedorthist
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Breast Prostheses and/or Accessories
Prosthetic bra, Surgical bra
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

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

MEDICAL CONSULTING MEDIA, INC.
Prosthetic/Orthotic Supplier
124 ALVARADO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 266-1700
DONALD DEANE DOTY JR. CPO
Specialist
124 ALVARADO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 266-1700
RYDER DOTY CPOA, CFO, CFTS
Orthotic Fitter
124 ALVARADO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 266-1700

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 Active Life Orthotics And Prosthetics Corp's NPI number?

The NPI number for Active Life Orthotics And Prosthetics Corp is 1891354197. It was assigned to this organization in the NPPES registry on June 10, 2019.

Where is Active Life Orthotics And Prosthetics Corp located?

Active Life Orthotics And Prosthetics Corp is located at 124 Alvarado Dr SE, Albuquerque, NM 87108. The listed phone number is (505) 266-1700.

What is Active Life Orthotics And Prosthetics Corp's specialty?

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

Does Active Life Orthotics And Prosthetics Corp accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Active Life Orthotics & Prosthetics does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Active Life Orthotics And Prosthetics Corp was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.