Active NPI
Texas Orthotic & Prosthetic Systems Inc
- Prosthetic/Orthotic Supplier
- Fort Worth, TX
National Provider Identifier
1144296476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 101193
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6491456 | Other | TX | AETNA |
| 10030707 | Other | TX | AMERI GROUP |
| 530908 | Other | TX | BCBS |
National Provider Directory
National Provider Directory- Tax ID family
- Texas Orthotic and Prosthetic Systems Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Fort Worth, TX
- NPI 1902925514
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
- Texas Orthopaedic Associates, LLP
- Texas Orthopaedic Associates, LLP
- Texas Orthopedic and Spine Associates PLLC
- Texas Orthopedic and Spine Associates PLLC
- Texas Orthopedic Specialists, PLLC
- Texas Orthotic and Prosthetic Systems, Inc.
- Texas Pediatrics PLLC
- Texas Physician Resources, LLP
- Texas Physicians Specialized Medicine PLLC
- Texas Plastic Surgery Associates, PA
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.