AKTIVE ORTHOTICS – NPI #1790969855
Durable Medical Equipment & Medical Supplies

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

AKTIVE ORTHOTICS is a DME supplier located in BAINBRIDGE, NY. NPPES has assigned the NPI number 1790969855 to AKTIVE ORTHOTICS on December 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AKTIVE ORTHOTICS” is a dba name, the actual legal business name for this organization is SCOTT FISHER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 332B00000X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies.

The NPI profile was previously updated about 18 years ago on Jul 22, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AKTIVE ORTHOTICS below.

NPI Profile for
SCOTT FISHER

NPI Number
1790969855
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SCOTT FISHER
Doing Business As (dba): AKTIVE ORTHOTICS
Primary location
231 CO. HWY 1
BAINBRIDGE, NY 13733
Phone: (607) 433-0829 Fax: (607) 433-0829
Mailing address
PO BOX 292
SIDNEY, NY 13838-0292
Phone: (607) 433-0829 Fax: (607) 433-0829
Organization Subpart
No
Authorized Official
SCOTT FISHER
OWNER
Phone: (607) 433-0829
Updated
Identifiers

Identifiers for AKTIVE ORTHOTICS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPHYSICAL THERAPY LICENSENY00256-1
MEDICAIDNY01901037
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332B00000X
- Durable Medical Equipment & Medical Supplies (Primary)
NY C16086
335E00000X
- Prosthetic/Orthotic Supplier
NY C16086

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.