Organization Active NPI

Texas Orthotic & Prosthetic Systems Inc

  • Prosthetic/Orthotic Supplier
  • Fort Worth, TX
National Provider Identifier
1144296476
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
101193 Issued in TX
Legal business name
TEXAS ORTHOTIC & PROSTHETIC SYSTEMS INC
Practice address
1226 South Lake St
Fort Worth, TX 76104
Phone
(817) 810-0901
Fax
(817) 810-0903
NPI assigned
Feb 27, 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. Stuart Leigh Willett
Title
Office MGR
Phone
(817) 810-0901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 101193 TX Primary

Addresses

Primary practice location

1226 South Lake St
Fort Worth, TX 76104

Mailing address

1226 South Lake St
Fort Worth, TX 76104
Phone (817) 810-0901

Other identifiers 3

IdentifierTypeStateIssuer
6491456OtherTXAETNA
10030707OtherTXAMERI GROUP
530908OtherTXBCBS

National Provider Directory

National Provider Directory
Tax ID family
Texas Orthotic and Prosthetic Systems Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144296476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 SOUTH LAKE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-810-0901",
            "fax_number": "817-810-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 SOUTH LAKE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-810-0901",
            "fax_number": "817-810-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ORTHOTIC & PROSTHETIC SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLETT",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "817-810-0901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6491456",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERI GROUP",
            "identifier": "10030707",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "530908",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, 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.