Supertech Orthotics & Prosthetics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SUPERTECH ORTHOTICS & PROSTHETICS LLC

Practice address

9888 Bissonnet St Ste 530
Houston, TX 77036-8250

Phone

(832) 775-0633

Fax

(281) 207-5339

NPI assigned

Dec 18, 2014

Last updated

Apr 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sanjay Upadhyaya, CPONPI 1619372224

Title

Ceo

Phone

(832) 775-0633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

Locations

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.

• Sanjay Upadhyaya, MS, L/CPO, FAAOP

  • Prosthetist
  • Houston, TX
  • NPI 1619372224

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1073911335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 BISSONNET ST STE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368250",
            "telephone_number": "832-775-0633",
            "fax_number": "281-207-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 BISSONNET ST STE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368250",
            "telephone_number": "832-775-0633",
            "fax_number": "281-207-5339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4019 Parliament Dr Ste 530",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713033018",
            "country_code": "US",
            "telephone_number": "281-207-5338",
            "fax_number": "281-207-5339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPERTECH ORTHOTICS & PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "UPADHYAYA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-775-0633",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Houston, TX
• Providers in Houston, 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 Apr 1, 2026; 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.