OrganizationActive
Innovative Prosthetics LLC
NPI 1437484821 · Prosthetic/Orthotic Supplier · Hattiesburg, MS
Provider details
- NPI number
- 1437484821
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- J Patton, Manager(228) 313-7667
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6086 U S Highway 49
Suite B
Hattiesburg, MS 39401-7340
Phone: (228) 313-7667
Street-level locationGet directions
Mailing address
6086 U S Highway 49
Hattiesburg, MS 39401-7340
Registry dates
- Enumerated
- 2009-10-02
- Last updated
- 2009-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.