NPIMap

Organization Active NPI

Pongratz Orthotics & Prosthetics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1164998696
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PONGRATZ ORTHOTICS & PROSTHETICS, INC.
Practice address
2530 E Thomas Rd
Phoenix, AZ 85016-7914
Phone
(602) 395-3354
NPI assigned
Oct 23, 2018
Last updated
Jul 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Joseph Pongratz
Title
President
Phone
(602) 222-3032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2530 E Thomas Rd
Phoenix, AZ 85016-7914

Mailing address

730 N 52ND St Ste 100
Phoenix, AZ 85008-7987
Phone (602) 222-3032

Other practice location 1

13203 N 103rd Ave Ste J1
Sun City, AZ 85351-3029
Phone (602) 395-3354

Other practice location 2

3636 N 3rd Ave Ste 100
Phoenix, AZ 85013-3938
Phone (602) 395-3354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181213002763 AZ DME Supplier - Certified Orth/Pros/Pedorthist 3779604749 Practice locations: Phoenix, AZ

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Phoenix West2530 E Thomas Rd, Phoenix, AZ 85016-7914(602) 395-3354 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 11, 1999

National Provider Directory

National Provider Directory
Tax ID family
Pongratz Orthotics Prosthetics Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

3636 N 3rd Ave
Phoenix, AZ 85013
Phone (480) 777-8807

730 N 52nd St
Ste 100
Phoenix, AZ 85008
Phone (602) 222-3032

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1164998696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N 52ND ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087987",
            "telephone_number": "602-222-3032",
            "fax_number": "602-222-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167914",
            "telephone_number": "602-395-3354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13203 N 103rd Ave Ste J1",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513029",
            "country_code": "US",
            "telephone_number": "602-395-3354",
            "fax_number": "602-395-3361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3636 N 3rd Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850133938",
            "country_code": "US",
            "telephone_number": "602-395-3354",
            "fax_number": "602-395-3361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PONGRATZ ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "PONGRATZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-222-3032"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.

Verify at the official NPI Registry.