NPIMap

Organization Active NPI

Sampson'S Prosthetic Laboratory, Inc

  • Prosthetic/Orthotic Supplier
  • Schenectady, NY
National Provider Identifier
1013085349
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
224P00000X Issued in NY
Legal business name
SAMPSON'S PROSTHETIC LABORATORY, INC
Practice address
1737 State St
Schenectady, NY 12304-1832
Phone
(518) 374-6011
Fax
(518) 393-3292
NPI assigned
Dec 4, 2006
Organization subpart
Yes
Parent organization
HANGER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Jennifer L Simmons
Title
Regulatory Compliance Analyst III
Phone
(859) 594-2709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X 224P00000X NY Primary

Addresses

Primary practice location

1737 State St
Schenectady, NY 12304-1832

Mailing address

PO Box 650846
Dallas, TX 75265-0846

Other identifiers 1

IdentifierTypeStateIssuer
00438353MedicaidNY

Other names 1

  • Hanger Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930013548 NY DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 7315065026 Practice locations: Schenectady, NY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Sampsons Prosthetic Lab Inc1737 State St, Schenectady, NY 12304-1832(518) 374-6011 Traction Equipment|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory
Tax ID family
Sampsons Prosthetic Lab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

92 Broad St
Ste 1
Glens Falls, NY 12801
Phone (518) 374-6011

Networks

  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037Plans: DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) (H6852-022-000, H6852); DEVOTED C-SNP PREMIUM 017 PA (HMO C-SNP) (H6852-017-000, H6852); DEVOTED C-SNP PREMIUM 019 PA (HMO C-SNP) (H6852-019-000, H6852); DEVOTED C-SNP PLUS 021 PA (HMO C-SNP) (H6852-021-000, H6852); DEVOTED C-SNP PREMIUM 020 PA (HMO C-SNP) (H6852-020-000, H6852); DEVOTED C-SNP PREMIUM 018 PA (HMO C-SNP) (H6852-018-000, H6852); DEVOTED C-SNP PREMIUM 016 PA (HMO C-SNP) (H6852-016-000, H6852)

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1013085349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041832",
            "telephone_number": "518-374-6011",
            "fax_number": "518-393-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPSON'S PROSTHETIC LABORATORY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REGULATORY COMPLIANCE ANALYST III",
        "authorized_official_telephone_number": "859-594-2709"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "224P00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00438353",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanger Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.