Active NPI
Specialty Prosthetic & Orthotics of Texas
- Prosthetic/Orthotic Supplier
- Austin, TX
National Provider Identifier
1073756292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- SPECIALTY PROSTHETIC & ORTHOTICS OF TEXAS
- Practice address
- 2222 Western Trails Blvd
Suite 102
Austin, TX 78745-1682 - Phone
- (512) 826-7830
- Fax
- (210) 932-3040
- NPI assigned
- Apr 17, 2009
- Organization subpart
- Yes
- Parent organization
- SPECIALTY PROSTHETIC & ORTHOTICS OF TEXS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward Khu, CPO/LPO
- Title
- President
- Phone
- (210) 932-3000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
2222 Western Trails Blvd
Suite 102
Austin, TX 78745-1682
Mailing address
98 Briggs St
Suite 950
San Antonio, TX 78224-1286
Phone (210) 932-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156537602 | Medicaid | TX | |
| 156537601 | Medicaid | TX |
National Provider Directory
National Provider Directory- Part of
- Specialty Prosthetic Orthotics of Texas
Locations
2222 Western Trails Blvd
Ste 102
Austin, TX 78745
Phone (512) 826-7830
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetist
- San Antonio, TX
- NPI 1255137790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241654400000",
"number": "1073756292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 BRIGGS ST",
"address_2": "SUITE 950",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782241286",
"telephone_number": "210-932-3000",
"fax_number": "210-932-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 WESTERN TRAILS BLVD",
"address_2": "SUITE 102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451682",
"telephone_number": "512-826-7830",
"fax_number": "210-932-3040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALTY PROSTHETIC & ORTHOTICS OF TEXAS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPECIALTY PROSTHETIC & ORTHOTICS OF TEXS",
"enumeration_date": "2009-04-17",
"last_updated": "2009-05-07",
"status": "A",
"authorized_official_last_name": "KHU",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-932-3000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO/LPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156537602",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156537601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}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 May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.