Organization Active NPI

New Horizons O & P North Platte LLC

  • Prosthetic/Orthotic Supplier
  • North Platte, NE
National Provider Identifier
1265105753
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NEW HORIZONS O & P NORTH PLATTE LLC
Practice address
2509 Halligan Dr Ste F
North Platte, NE 69101-7858
Phone
(308) 856-9292
Fax
(308) 402-0011
NPI assigned
Jul 29, 2021
Organization subpart
Yes
Parent organization
NEW HORIZONS ORTHOTICS & PROSTHETICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Sandra Olson
Title
Member
Phone
(308) 698-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2509 Halligan Dr Ste F
North Platte, NE 69101-7858

Mailing address

5609 1St Ave Ste a-2
Kearney, NE 68847-2436
Phone (308) 698-0500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210813000921 NE DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 5799189601 Practice locations: North Platte, NE

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
New Horizons Orthotic & Prosthetic2509 Halligan Dr, North Platte, NE 69101-7858(308) 856-9292 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 1, 2022

National Provider Directory

National Provider Directory
Part of
New Horizons Orthotics LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2509 Halligan Dr
Ste F
North Platte, NE 69101
Phone (308) 856-9292

2509 Halligan Dr
North Platte, NE 69101

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1265105753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 1ST AVE STE A-2",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472436",
            "telephone_number": "308-698-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 HALLIGAN DR STE F",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691017858",
            "telephone_number": "308-856-9292",
            "fax_number": "308-402-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS O & P NORTH PLATTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW HORIZONS ORTHOTICS & PROSTHETICS LLC",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-14",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "308-698-0500"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.