Organization Active NPI

Performance Orthotics & Prosthetics, Inc

  • Orthotist
  • Lawrence, KS
National Provider Identifier
1144231556
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Legal business name
PERFORMANCE ORTHOTICS & PROSTHETICS, INC
Practice address
1112 W 6TH St Ste 10
Lawrence, KS 66044-2249
Phone
(785) 749-2072
Fax
(785) 865-4095
NPI assigned
Aug 10, 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
Mr. Bradley Morris Oja, C.O.
Title
President, Certified Orthotist
Phone
(785) 749-2072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193400000X SINGLE SPECIALTY GROUP 222Z00000X Primary

Addresses

Primary practice location

1112 W 6TH St Ste 10
Lawrence, KS 66044-2249

Mailing address

1112 W 6TH St Ste 10
Lawrence, KS 66044-2249
Phone (785) 749-2072

National Provider Directory

National Provider Directory

Locations

1112 W 6th St
Ste 10
Lawrence, KS 66044
Phone (785) 371-4853

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144231556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST STE 10",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442249",
            "telephone_number": "785-749-2072",
            "fax_number": "785-865-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST STE 10",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442249",
            "telephone_number": "785-749-2072",
            "fax_number": "785-865-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE ORTHOTICS & PROSTHETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OJA",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT, CERTIFIED ORTHOTIST",
        "authorized_official_telephone_number": "785-749-2072",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

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.