Active NPI
Orthotics Specialist
- Prosthetic/Orthotic Supplier
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 101184
- Legal business name
- ORTHOTICS SPECIALIST
- Practice address
- Orthotics Specialist Dba Hill Country Orthotics and Pro
6631 S Zarzamora St
San Antonio, TX 78211 - Phone
- (210) 977-0166
- Fax
- (210) 977-0168
- NPI assigned
- Nov 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terri Wells
- Title
- Director of Operations
- Phone
- (210) 698-9377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 101184 | TX | Primary |
Addresses
Primary practice location
Orthotics Specialist Dba Hill Country Orthotics and Pro
6631 S Zarzamora St
San Antonio, TX 78211
Mailing address
4242 Medical Dr Ste 2100
San Antonio, TX 78229-5641
Phone (210) 698-9377
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 531770 | Other | TX | BLUE CROSS BLUE SHIELD |
| 171115204 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930098174 | TX | DME Supplier - Orthotic Personnel | 3274736418 | Practice locations: San Antonio, TX |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Hill Country Orthoric and Prosthetics
- Prosthetic/Orthotic Supplier
- McAllen, TX
- NPI 1770952145
Member Of
-
dba Hightech Rehab Solutions
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
- NPI 1548270408
Member Of
Locations
2102 Blalock Dr
Ste 102
Austin, TX 78758
Phone (512) 490-1255
12885 Research Blvd
Unit 105
Austin, TX 78750
12414 Alderbrook Dr
Ste 102
Austin, TX 78758
Phone (512) 490-1255
226 S Enterprize Pkwy
Ste 110
Corpus Christi, TX 78405
Phone (361) 445-3586
6631 S Zarzamora St
San Antonio, TX 78211
Phone (210) 977-0166
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Prosthetist
- Corpus Christi, TX
- NPI 1467047886
-
- Orthotic Fitter
- Austin, TX
- NPI 1851385728
Prosthetic/Orthotic Supplier
-
- Podiatrist
- Norcross, GA
- NPI 1679598627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578960000000",
"number": "1083895619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4242 MEDICAL DR STE 2100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295641",
"telephone_number": "210-698-9377",
"fax_number": "210-698-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ORTHOTICS SPECIALIST DBA HILL COUNTRY ORTHOTICS AND PRO",
"address_2": "6631 S ZARZAMORA ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78211",
"telephone_number": "210-977-0166",
"fax_number": "210-977-0168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOTICS SPECIALIST",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-26",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "TERRI",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "210-698-9377"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TX",
"license": "101184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "531770",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171115204",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Orthopedic & Spine Surgical Hospital of South Texas, L.P. (South Texas Spine & Surgical Hospital, L. P.)
- Orthopedic Performance Institute
- Orthopedic PT Centers LLC (Orthopedic Physical Therapy)
- Orthorehab LLC (OrthoRehab Physical Therapy)
- Orthotics Plus LLC
- Deborah Ortis, RN
- Fabiola Ortiz Aparicio, PSY.D
- Ortiz Pharmacy Inc (Ortiz Pharmacy LTC)
- Ortiz Pharmacy Inc
- Ortiz Prescription Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.