Organization Active NPI

Capital Prosthetics & Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Austin, TX
National Provider Identifier
1053779231
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
1322 Issued in TX
Legal business name
CAPITAL PROSTHETICS & ORTHOTICS, LLC
Practice address
1005 E Saint Elmo Rd BLDG 9
Austin, TX 78745-1296
Phone
(512) 916-9431
Fax
(512) 916-9435
NPI assigned
Feb 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
James Beard
Title
Credentialing Coordinator
Phone
(405) 900-4935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 1322 TX Primary

Addresses

Primary practice location

1005 E Saint Elmo Rd BLDG 9
Austin, TX 78745-1296

Mailing address

1005 E Saint Elmo Rd BLDG 9
Austin, TX 78745-1296
Phone (512) 916-9431

Other names 3

  • Martin Bionics Clinical Care Doing business as
  • Martin Bionics Clinical Care, Austin Doing business as
  • Martin Bionics Clinical Care, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160801001958 TX DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 5991098741 Practice locations: Austin, TX

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
Capital Prosthetics & Orthotics LLC1005 E Saint Elmo Rd, Austin, TX 78745-1296(512) 916-9431 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since May 25, 2016

National Provider Directory

National Provider Directory

Locations

209 E Ben White Blvd
Ste 204
Austin, TX 78704

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1053779231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E SAINT ELMO RD BLDG 9",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451296",
            "telephone_number": "512-916-9431",
            "fax_number": "512-916-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E SAINT ELMO RD BLDG 9",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451296",
            "telephone_number": "512-916-9431",
            "fax_number": "512-916-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL PROSTHETICS & ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "405-900-4935"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "1322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Bionics Clinical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Martin Bionics Clinical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Martin Bionics Clinical Care, Austin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Martin Bionics Clinical Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.