Provider Demographics
NPI:1679237291
Name:INFINITY ORTHOTICS & PROSTHETICS, INC.
Entity Type:Organization
Organization Name:INFINITY ORTHOTICS & PROSTHETICS, INC.
Other - Org Name:INFINITY O&P, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:KIP
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-539-7997
Mailing Address - Street 1:909 FRANKLIN ST SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4333
Mailing Address - Country:US
Mailing Address - Phone:256-539-7997
Mailing Address - Fax:256-539-7991
Practice Address - Street 1:1404 E AVALON AVE STE D
Practice Address - Street 2:
Practice Address - City:TUSCUMBIA
Practice Address - State:AL
Practice Address - Zip Code:35674-1771
Practice Address - Country:US
Practice Address - Phone:256-539-7997
Practice Address - Fax:256-539-7991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-29
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment