NPIMap

Organization Active NPI

Nutech Orthotics & Prosthetics, LLC

  • Durable Medical Equipment & Medical Supplies
  • Brownsville, TX
National Provider Identifier
1104922301
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
85 Issued in TX
Legal business name
NUTECH ORTHOTICS & PROSTHETICS, LLC
Practice address
302 Lorenaly Dr. Ste. G
Brownsville, TX 78526
Phone
(956) 350-0550
Fax
(956) 350-0554
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Douglass J Wacker, CPO, LPO
Title
Member, Manager
Phone
(956) 350-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 85 TX Primary

Addresses

Primary practice location

302 Lorenaly Dr. Ste. G
Brownsville, TX 78526

Mailing address

302 Lorenaly #G
Brownsville, TX 78526
Phone (956) 350-0550

National Provider Directory

National Provider Directory
Tax ID family
Nutech Orthotics Prosthetics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

302 Lorenaly Dr
Ste G
Brownsville, TX 78526
Phone (956) 525-7310

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104922301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 LORENALY #G",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78526",
            "telephone_number": "956-350-0550",
            "fax_number": "956-350-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 LORENALY DR. STE. G",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78526",
            "telephone_number": "956-350-0550",
            "fax_number": "956-350-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTECH ORTHOTICS & PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WACKER",
        "authorized_official_first_name": "DOUGLASS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER, MANAGER",
        "authorized_official_telephone_number": "956-350-0550",
        "authorized_official_credential": "CPO, LPO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "85",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.