Active NPI
Able II Prosthetics and Orthotics
- Prosthetics Case Management
- Watertown, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Legal business name
- ABLE II PROSTHETICS AND ORTHOTICS
- Practice address
- 506 1St Ave SE
Watertown, SD 57201-4402 - Phone
- (605) 882-0432
- Fax
- (605) 882-0978
- NPI assigned
- Sep 25, 2007
- Last updated
- Mar 30, 2020
- 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
- Mark A Piro
- Title
- Cpo
- Phone
- (402) 483-8898
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | Primary |
Addresses
Primary practice location
506 1St Ave SE
Watertown, SD 57201-4402
Mailing address
PO Box 22832
Lincoln, NE 68542-2832
Phone (402) 483-8898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4999175 | Other | SD | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930028141 | SD | DME Supplier - Orthotic Personnel | 1254452147 | Practice locations: Watertown, SD |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Lincoln, NE
- NPI 1245257047
1254452147
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Able II Orthtoics and Prosthetics | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Able II Prosthetics and Orthotics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Lincoln, NE
- NPI 1245257047
Locations
2222 S 16th St
Ste 220
Lincoln, NE 68502
Phone (402) 483-8898
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Prosthetics Case Management
- Lincoln, NE
- NPI 1265494504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585526400000",
"number": "1144417072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22832",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685422832",
"telephone_number": "402-483-8898",
"fax_number": "402-435-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 1ST AVE SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572014402",
"telephone_number": "605-882-0432",
"fax_number": "605-882-0978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABLE II PROSTHETICS AND ORTHOTICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A",
"authorized_official_last_name": "PIRO",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CPO",
"authorized_official_telephone_number": "402-483-8898"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4999175",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.