Individual provider Active NPI

Sheri Hatt, LPO, BOCPO

  • Prosthetist
  • Bastrop, TX
National Provider Identifier
1356640205
Registry record updated Nov 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Practice address
962 Highway 71 East
Ste. 3-102
Bastrop, TX 78602
Phone
(512) 412-6322
Fax
(512) 651-0349
NPI assigned
Mar 17, 2011
Last updated
Nov 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X
Prosthetist 224P00000X Primary

Addresses

Primary practice location

962 Highway 71 East
Ste. 3-102
Bastrop, TX 78602

Mailing address

962 Highway 71 East
Ste 3-102
Bastrop, TX 78602-5023
Phone (512) 412-6322

Other identifiers 1

IdentifierTypeStateIssuer
347013001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Prosthetics, LLC Orthotist CurrentSince Nov 17, 2024 Accepting new patients
Sheri Hatt Orthotist Current Accepting new patients
Rogue Prosthetics, LLC Orthotist Current Accepting new patients

Locations

962 Highway 71 E
Ste 3-102
Bastrop, TX 78602
Phone (512) 412-6322

1821 W Frank Ave
Lufkin, TX 75904
Phone (936) 225-3339

411 E Hospital St
Nacogdoches, TX 75961
Phone (936) 225-3339

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1356640205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 HIGHWAY 71 EAST",
            "address_2": "STE 3-102",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025023",
            "telephone_number": "512-412-6322",
            "fax_number": "512-651-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 HIGHWAY 71 EAST",
            "address_2": "STE. 3-102",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "78602",
            "telephone_number": "512-412-6322",
            "fax_number": "512-651-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATT",
        "first_name": "SHERI",
        "credential": "LPO, BOCPO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347013001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.