Elite Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ELITE PROSTHETICS, INC.

Practice address

6603 Sanger Ave
Waco, TX 76710-4252

Phone

(254) 752-6352

Fax

(254) 714-2314

NPI assigned

Dec 16, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dustin Grice

Title

President

Phone

(817) 307-9133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1003387218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 SANGER AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104252",
            "telephone_number": "254-752-6352",
            "fax_number": "254-714-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 SANGER AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104252",
            "telephone_number": "254-752-6352",
            "fax_number": "254-714-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "GRICE",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-307-9133"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Aab El Ghawil, MBBS, MA, LPCC
• Devon Elder, PA-C
• Eyitemi Elete
• Marc Spencer Elieson, MD
• Elite Prosthetics & Orthotics Inc
• Elite Sports Medicine Physical Therapy
• Elite Therapy Services, LLC
• Amy Coyle Elliott, PA
• Cassidy Ellis, OT
• Jon Michael Ellis, M.D.

• Prosthetic/Orthotic Supplier in Waco, TX
• Providers in Waco, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.