Organization Active NPI

Prosthetic Orthotic Center

  • Prosthetic/Orthotic Supplier
  • Minocqua, WI
National Provider Identifier
1316198682
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROSTHETIC ORTHOTIC CENTER
Practice address
9815 Hwy 70 Ste 101
Minocqua, WI 54548-9769
Phone
(715) 356-3377
Fax
(715) 845-6310
NPI assigned
Oct 6, 2008
Last updated
Jul 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Mr. Robert Karl Lotz, CPO, FAAOPNPI 1093802027
Title
President
Phone
(715) 432-7787

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

9815 Hwy 70 Ste 101
Minocqua, WI 54548-9769

Mailing address

1108 S 17TH Ave
Wausau, WI 54401-5709
Phone (715) 845-2800

Other identifiers 1

IdentifierTypeStateIssuer
41782800MedicaidWI

National Provider Directory

National Provider Directory

Locations

9815 Highway 70
#101
Minocqua, WI 54548
Phone (715) 356-3377

2926 Post Rd
Stevens Point, WI 54481
Phone (715) 341-9280

2600 Stewart Ave
Ste 30
Wausau, WI 54401
Phone (715) 848-0650

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1316198682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 S 17TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015709",
            "telephone_number": "715-845-2800",
            "fax_number": "715-845-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 HWY 70 STE 101",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489769",
            "telephone_number": "715-356-3377",
            "fax_number": "715-845-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC ORTHOTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "LOTZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-432-7787",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, FAAOP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41782800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minocqua, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.