Organization Active NPI

Suncoast Orthotics and Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Venice, FL
National Provider Identifier
1265599054
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SUNCOAST ORTHOTICS AND PROSTHETICS, INC.
Practice address
200 Tamiami TRL N Ste I
Venice, FL 34285-1914
Phone
(941) 484-2451
Fax
(941) 485-2038
NPI assigned
Jan 2, 2007
Last updated
Dec 12, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
HANGER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Ms. Sheryl S Price
Title
Director of Reimbursement
Phone
(503) 493-8288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

200 Tamiami TRL N Ste I
Venice, FL 34285-1914

Mailing address

PO Box 650846
Dallas, TX 75265-0846
Phone (941) 484-2451

Other identifiers 6

IdentifierTypeStateIssuer
201645OtherPABLUE CROSS & BLUE SHIELD
M0511OtherFLBLUE CROSS & BLUE SHIELD
50665OtherAMERICAN BENEFIT
213266OtherFLAMERIGROUP
50666OtherNORTHWOOD NPN
027717700MedicaidFL

National Provider Directory

National Provider Directory

Member of 1

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

Locations

200 Tamiami Trl N
Ste I
Venice, FL 34285
Phone (941) 484-2451

200 Tamiami Trl N
Unit 1
Venice, FL 34285
Phone (941) 365-7588

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1265599054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846",
            "telephone_number": "941-484-2451",
            "fax_number": "941-485-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TAMIAMI TRL N STE I",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342851914",
            "telephone_number": "941-484-2451",
            "fax_number": "941-485-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST ORTHOTICS AND PROSTHETICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "503-493-8288",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "201645",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "M0511",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BENEFIT",
            "identifier": "50665",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "213266",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD NPN",
            "identifier": "50666",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027717700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.