Provider Demographics
NPI:1124071493
Name:CONTINUOUS POSITIVE MOTION TECHNOLOGY, INC
Entity type:Organization
Organization Name:CONTINUOUS POSITIVE MOTION TECHNOLOGY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:BECKHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-849-2680
Mailing Address - Street 1:PO BOX 41067
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77241-1067
Mailing Address - Country:US
Mailing Address - Phone:713-849-2680
Mailing Address - Fax:713-849-3707
Practice Address - Street 1:1545 ST. MARKS PLAZA
Practice Address - Street 2:STE 6
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207
Practice Address - Country:US
Practice Address - Phone:209-476-0900
Practice Address - Fax:209-476-0901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0577440004Medicare ID - Type Unspecified