Organization Active NPI

Prosthetic Laboratories of Rochester, Inc

  • Prosthetic/Orthotic Supplier
  • Rochester, MN
National Provider Identifier
1295124865
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROSTHETIC LABORATORIES OF ROCHESTER, INC
Doing business as
Hanger Clinic
Practice address
15 W Center St
Rochester, MN 55902-3031
Phone
(507) 289-1512
Fax
(507) 289-2038
NPI assigned
Jan 20, 2015
Organization subpart
Yes
Parent organization
HANGER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

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

Specialties & licenses 2

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

Addresses

Primary practice location

15 W Center St
Rochester, MN 55902-3031

Mailing address

121 23Rd Ave SW
Suite 101
Rochester, MN 55902-0998
Phone (507) 289-1512

Other names 1

  • Hanger Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

Locations

3835 Supreme Ct NW
Ste 4
Bemidji, MN 56601
Phone (218) 333-6966

121 23rd Ave SW
Ste 101
Rochester, MN 55902
Phone (507) 281-5250

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1295124865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 23RD AVE SW",
            "address_2": "SUITE 101",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559020998",
            "telephone_number": "507-289-1512",
            "fax_number": "507-289-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W CENTER ST",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023031",
            "telephone_number": "507-289-1512",
            "fax_number": "507-289-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC LABORATORIES OF ROCHESTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "503-493-8288"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanger Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.