Provider Demographics
NPI:1891769717
Name:CAPE PROSTHETICS-ORTHOTICS INC
Entity Type:Organization
Organization Name:CAPE PROSTHETICS-ORTHOTICS INC
Other - Org Name:CAPSTONE PROSTHETICS & ORTHOTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:BINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-644-7824
Mailing Address - Street 1:1754 MADISON ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-2923
Mailing Address - Country:US
Mailing Address - Phone:931-920-4087
Mailing Address - Fax:931-553-8330
Practice Address - Street 1:1754 MADISON ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-2923
Practice Address - Country:US
Practice Address - Phone:931-920-4087
Practice Address - Fax:931-553-8330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1454923OtherTENNCARE PROVIDER ID#
KY90011404Medicaid
TN0186280011Medicare NSC