NPIMap

Organization Active NPI

Precision Orthotic & Prosthetic Technology Inc.

  • Prosthetic/Orthotic Supplier
  • Fall River, MA
National Provider Identifier
1013300391
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PRECISION ORTHOTIC & PROSTHETIC TECHNOLOGY INC.
Practice address
235 Hanover St
Suite 208
Fall River, MA 02720-5444
Phone
(508) 991-5577
Fax
(508) 991-5505
NPI assigned
Mar 11, 2015
Last updated
Mar 11, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PRECISION ORTHOTIC & PROSTHETIC TECHNOLOGY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Mr. Matthew E Hebert, CP, CFONPI 1023346756
Title
President
Phone
(508) 991-5577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

235 Hanover St
Suite 208
Fall River, MA 02720-5444

Mailing address

235 Hanover St
Suite 208
Fall River, MA 02720-5444
Phone (508) 991-5577

Other identifiers 1

IdentifierTypeStateIssuer
1528271MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Precision Orthotic Prosthetic Technology Inc3 organizations share this tax ID, including this one
Part of
Precision Orthotic Prosthetic Technology Inc

Other organizations with this tax ID 2

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

Locations

235 Hanover St
Ste 208
Fall River, MA 02720
Phone (508) 679-4281

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1013300391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HANOVER ST",
            "address_2": "SUITE 208",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205444",
            "telephone_number": "508-991-5577",
            "fax_number": "508-991-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HANOVER ST",
            "address_2": "SUITE 208",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205444",
            "telephone_number": "508-991-5577",
            "fax_number": "508-991-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION ORTHOTIC & PROSTHETIC TECHNOLOGY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRECISION ORTHOTIC & PROSTHETIC TECHNOLOGY INC.",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-991-5577",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP, CFO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528271",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.