Prescotts Limbs & Braces Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

000081 Issued in TX

Legal business name

PRESCOTTS LIMBS & BRACES INC

Doing business as

Prescotts Orthotics and Prosthetics

Practice address

1306 N Malinche Ave
Laredo, TX 78043-3356

Phone

(956) 791-1277

Fax

(956) 791-1279

NPI assigned

Dec 14, 2006

Last updated

Jun 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary Wayne Prescott, C.O.NPI 1457333031

Title

Owner

Phone

(956) 791-1277

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prescotts Orthotics and Prosthetics Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Prescotts Limbs & Braces, Inc.

  dba Prescotts Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
  • NPI 1326075102

  1850419375

  Same PAC ID

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

Tax ID family

Bionic Prosthetics and Orthotics Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prescotts Limbs & Braces, Inc.

  dba Prescotts Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
  • NPI 1326075102
  NPD tax ID

Member of 1

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

• Bionic Prosthetics and Orthotics Group LLC

  • Prosthetic/Orthotic Supplier
  • Hazel Crest, IL
  • NPI 1649722315

  Member Of

  NPD member

Locations

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.

• Gary W Prescott, CO/LPO

  • Prosthetics Case Management
  • San Antonio, TX
  • NPI 1457333031
  Authorized official Same address or phone

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1346302809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167218",
            "telephone_number": "210-224-0726",
            "fax_number": "210-341-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 N MALINCHE AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780433356",
            "telephone_number": "956-791-1277",
            "fax_number": "956-791-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTTS LIMBS & BRACES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-791-1277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "000081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112427-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescotts Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prescotts Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Laredo, TX
• Providers in Laredo, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.