Organization Active NPI

Precision Prosthetics and Orthotics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
National Provider Identifier
1205240249
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
101161 Issued in TX
Legal business name
PRECISION PROSTHETICS AND ORTHOTICS, INC.
Practice address
1501 E Missouri Ave
El Paso, TX 79902-5615
Phone
(915) 544-2961
Fax
(915) 544-2963
NPI assigned
Jun 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Mrs. Katherine E Lee
Title
President/Owner
Phone
(915) 544-2961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 101161 TX Primary

Addresses

Primary practice location

1501 E Missouri Ave
El Paso, TX 79902-5615

Mailing address

1501 E Missouri Ave
El Paso, TX 79902-5615
Phone (915) 544-2961

Other names 1

  • Precision Prosthetics, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140806002713 TX DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 4688891195 Practice locations: El Paso, TX

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
Precision Prosthetics Inc1501 E Missouri Ave, El Paso, TX 79902-5615(915) 544-2961 Heat & Cold Applications|Traction Equipment|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jun 23, 2014

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1205240249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E MISSOURI AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025615",
            "telephone_number": "915-544-2961",
            "fax_number": "915-544-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E MISSOURI AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025615",
            "telephone_number": "915-544-2961",
            "fax_number": "915-544-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PROSTHETICS AND ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "915-544-2961",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "101161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Prosthetics, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.