NPIMap

Organization Active NPI

Integrity Orthotics and Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Placitas, NM
National Provider Identifier
1366034647
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
INTEGRITY ORTHOTICS AND PROSTHETICS LLC
Practice address
221 State Highway 165 Ste F
Placitas, NM 87043-9514
Phone
(505) 437-3900
Fax
(505) 437-3906
NPI assigned
Feb 8, 2021
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Jacque Newman, CONPI 1982292561
Title
Owner
Phone
(505) 437-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 222Z00000X
ProsthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 224P00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

221 State Highway 165 Ste F
Placitas, NM 87043-9514

Mailing address

221 State Highway 165 Ste F
Placitas, NM 87043-9514
Phone (505) 437-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210218000328 NM DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 2769897008 Practice locations: Placitas, NM

National Provider Directory

National Provider Directory

Locations

221 State Highway 165
Ste F
Placitas, NM 87043
Phone (505) 353-2484

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": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1366034647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 STATE HIGHWAY 165 STE F",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870439514",
            "telephone_number": "505-437-3900",
            "fax_number": "505-437-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 STATE HIGHWAY 165 STE F",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870439514",
            "telephone_number": "505-437-3900",
            "fax_number": "505-437-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY ORTHOTICS AND PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-437-3900",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placitas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.