Prosthetic One

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

101575 Issued in TX

Legal business name

PROSTHETIC ONE

Practice address

3050 S Center St Ste 120
Arlington, TX 76014-2154

Phone

(682) 323-5921

Fax

(682) 323-5974

NPI assigned

Oct 2, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Marcus T Baker, CPO/L

Title

President

Phone

(901) 795-1776

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Prosthetic One2 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.

• Prosthetic One

  • Prosthetic/Orthotic Supplier
  • Stone Mountain, GA
  • NPI 1376405399
  NPD tax ID

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1255841482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 S CENTER ST STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142154",
            "telephone_number": "682-323-5921",
            "fax_number": "682-323-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 S CENTER ST STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142154",
            "telephone_number": "682-323-5921",
            "fax_number": "682-323-5974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5950 Hugh Howell Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300872440",
            "country_code": "US",
            "telephone_number": "770-674-0223",
            "fax_number": "770-674-0221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11908 Kanis Rd Ste G7",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722113773",
            "country_code": "US",
            "telephone_number": "501-916-9632",
            "fax_number": "501-916-9632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROSTHETIC ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-795-1776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO/L"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373710801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373710802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Arlington, TX
• Providers in Arlington, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.