Active NPI
Trek Holdings Inc
- Prosthetic/Orthotic Supplier
- Thomaston, GA
National Provider Identifier
1336055169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- TREK HOLDINGS INC
- Practice address
- 405 W Main St Ste C
Thomaston, GA 30286-3560 - Phone
- (706) 389-1260
- Fax
- (706) 786-0797
- NPI assigned
- Aug 21, 2026
- Organization subpart
- Yes
- Parent organization
- TREK HOLDINGS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Andrew Dougherty, CPO, LPO
- Title
- Ceo
- Phone
- (706) 389-1260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
405 W Main St Ste C
Thomaston, GA 30286-3560
Mailing address
2410 Hog Mountain Rd Ste 307
Watkinsville, GA 30677-4850
Phone (706) 389-1260
Other names 1
- Trek Prosthetics & Orthotics
National Provider Directory
National Provider Directory- Tax ID family
- Trek Holdings Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Watkinsville, GA
- NPI 1114819323
-
- Prosthetic/Orthotic Supplier
- Milledgeville, GA
- NPI 1396316279
-
- Prosthetic/Orthotic Supplier
- Athens, GA
- NPI 1982596193
Locations
2410 Hog Mountain Rd
Ste 307
Watkinsville, GA 30677
Phone (706) 389-1260
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Prosthetic/Orthotic Supplier
- Milledgeville, GA
- NPI 1396316279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787270400000",
"number": "1336055169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 HOG MOUNTAIN RD STE 307",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306774850",
"telephone_number": "706-389-1260",
"fax_number": "706-786-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W MAIN ST STE C",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302863560",
"telephone_number": "706-389-1260",
"fax_number": "706-786-0797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREK HOLDINGS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TREK HOLDINGS INC",
"enumeration_date": "2026-08-21",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A",
"authorized_official_last_name": "DOUGHERTY",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "706-389-1260",
"authorized_official_credential": "CPO, LPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Trek Prosthetics & Orthotics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Thomaston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.