NPIMap

Organization Active NPI

Progressive Orthotic & Prosthetic Services, Inc.

  • Prosthetic/Orthotic Supplier
  • Bartlesville, OK
National Provider Identifier
1134316912
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
5 Issued in OK
Legal business name
PROGRESSIVE ORTHOTIC & PROSTHETIC SERVICES, INC.
Practice address
1631 SE Washington Blvd
Bartlesville, OK 74006-4933
Phone
(918) 786-7701
Fax
(918) 786-7708
NPI assigned
Sep 26, 2007
Last updated
Jun 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Betty Clement
Title
Administration
Phone
(417) 621-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 5 OK Primary

Addresses

Primary practice location

1631 SE Washington Blvd
Bartlesville, OK 74006-4933

Mailing address

Progressive Orthotics & Prosthetics Services Inc-
9511 E. 46TH St
Tulsa, OK 74145-2007
Phone (918) 786-7707

Other identifiers 1

IdentifierTypeStateIssuer
100791610MedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Progressive Orthotic Prosthetic Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1631 SE Washington Blvd
Bartlesville, OK 74006
Phone (918) 331-2477

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1134316912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PROGRESSIVE ORTHOTICS & PROSTHETICS SERVICES INC-",
            "address_2": "9511 E. 46TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741452007",
            "telephone_number": "918-786-7707",
            "fax_number": "918-786-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 SE WASHINGTON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064933",
            "telephone_number": "918-786-7701",
            "fax_number": "918-786-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE ORTHOTIC & PROSTHETIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2025-06-13",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "CLEMENT",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "417-621-0055"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OK",
            "license": "5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100791610",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.