Provider Demographics
NPI:1649496134
Name:ABILITY PROSTHETIC SYSTEMS, INC.
Entity type:Organization
Organization Name:ABILITY PROSTHETIC SYSTEMS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CLINICAL ADVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSERO
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:800-593-9318
Mailing Address - Street 1:750 E 100 S
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-4107
Mailing Address - Country:US
Mailing Address - Phone:801-328-9728
Mailing Address - Fax:801-328-9788
Practice Address - Street 1:750 E 100 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-4107
Practice Address - Country:US
Practice Address - Phone:801-328-9728
Practice Address - Fax:801-328-9788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT0622370001Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID