Professional Prosthetics & Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

LP0378 Issued in TX

Legal business name

PROFESSIONAL PROSTHETICS & ORTHOTICS, INC.

Practice address

8637 Fredericksburg Rd Ste 131
San Antonio, TX 78240-1283

Phone

(210) 690-0739

Fax

(210) 690-2179

NPI assigned

Apr 14, 2007

Organization subpart

No

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

Authorized official

Name

James McCoy, C.P., L.P., FAAOP

Title

Owner, President

Phone

(210) 690-0739

Specialties & licenses 1

Addresses

Other names 1

• PROFESSIONAL PROSTHETICS Doing business as

Locations

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295950418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8637 FREDERICKSBURG RD STE 131",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401283",
            "telephone_number": "210-690-0739",
            "fax_number": "210-690-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8637 FREDERICKSBURG RD STE 131",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401283",
            "telephone_number": "210-690-0739",
            "fax_number": "210-690-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "210-690-0739",
        "authorized_official_credential": "C.P., L.P., FAAOP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "LP0378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL PROSTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in San Antonio, TX
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.