Blue Sky Orthotic and Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

101598 Issued in TX

Legal business name

BLUE SKY ORTHOTIC AND PROSTHETICS

Practice address

1104 W 34TH St BLDG a
Austin, TX 78705-1908

Phone

(970) 231-1313

Fax

(512) 505-8886

NPI assigned

Mar 2, 2018

Last updated

Mar 2, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

BLUE SKY ORTHOTIC AND PROSTHETICSAs reported in NPPES

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

Authorized official

Name

Aaron Erwin Foreman

Title

President

Phone

(970) 231-1313

Specialties & licenses 1

Addresses

Part of

Blue Sky Orthotic and Prosthetics

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1023510369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W 34TH ST BLDG A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051908",
            "telephone_number": "970-231-1313",
            "fax_number": "512-505-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W 34TH ST BLDG A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051908",
            "telephone_number": "970-231-1313",
            "fax_number": "512-505-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY ORTHOTIC AND PROSTHETICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE SKY ORTHOTIC AND PROSTHETICS",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-231-1313"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Austin, TX
• Providers in Austin, 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 Mar 2, 2018; 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.