Prosthetic Laboratories Laboratories of Rochester

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIC LABORATORIES LABORATORIES OF ROCHESTER

Practice address

620 W 18TH St
Sioux Falls, SD 57104-4844

Phone

(605) 332-1878

Fax

(605) 334-4045

NPI assigned

Feb 12, 2007

Last updated

Jul 3, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

GMS OF ROCHESTER INCAs reported in NPPES

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

Authorized official

Name

Brian Green

Title

Ceo

Phone

(507) 281-5250

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hanger Prosthetics & Orthotics Inc

  dba Hanger Clinic

  • Prosthetic/Orthotic Supplier
  • Waldorf, MD
  • NPI 1801120175

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1073655858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W 18TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044844",
            "telephone_number": "605-332-1878",
            "fax_number": "605-334-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W 18TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044844",
            "telephone_number": "605-332-1878",
            "fax_number": "605-334-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC LABORATORIES LABORATORIES OF ROCHESTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GMS OF ROCHESTER INC",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-281-5250"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taylor Lee Prostrollo, M.A.,CCC-SLP
• Graham David Protexter, PHARMD
• Alyssa Jo Protsch-Husman, LPC-MH-SUPERVISEE
• Anne Prouse, DO
• Jennifer Marie Prouty, MSW

• Prosthetic/Orthotic Supplier in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Prosthetic/Orthotic Supplier in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.