Organization Active NPI

Divine Prosthetics &Orthotics-Dpo- LLC

  • Prosthetic/Orthotic Supplier
  • Jersey Village, TX
National Provider Identifier
1285434605
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
DIVINE PROSTHETICS &ORTHOTICS-DPO- LLC
Practice address
20320 Northwest Fwy Ste 300
Jersey Village, TX 77065-5643
Phone
(346) 601-4545
Fax
(346) 601-4546
NPI assigned
Mar 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Mr. Gigi Joseph, BOCPO,LPONPI 1730859562
Title
Ceo,Clinical Director
Phone
(346) 412-6701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

20320 Northwest Fwy Ste 300
Jersey Village, TX 77065-5643

Mailing address

20320 Northwest Fwy Ste 300
Jersey Village, TX 77065-5643
Phone (346) 412-6701

Other names 1

  • DIVINE (DPO) Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260212001426 TX DME Supplier - Medical Supply Company With Orthotic-Prosthetic 9032624077 Practice locations: Jersey Village, 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
Divine Prosthetics & Orthotics (Dpo20320 Northwest Fwy, Jersey Village, TX 77065-5643(346) 412-6701 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 Apr 1, 2026

National Provider Directory

National Provider Directory

Locations

20320 Northwest Fwy
Ste 300
Jersey Village, TX 77065
Phone (832) 688-9666

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1285434605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 300",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655643",
            "telephone_number": "346-412-6701",
            "fax_number": "346-601-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 300",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655643",
            "telephone_number": "346-601-4545",
            "fax_number": "346-601-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PROSTHETICS &ORTHOTICS-DPO- LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "GIGI",
        "authorized_official_title_or_position": "CEO,CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "346-412-6701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BOCPO,LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVINE (DPO)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DIVINE (DPO)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.