Integrity Orthotics and Prosthetics LLC
Organization Active NPI Prosthetic/Orthotic Supplier · Placitas, NM
NPI 1366034647 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1366034647
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 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
- Organization subpart
- No
Authorized official
- Name
- Jacque Newman, CO
- Title
- Owner
- Phone
- (505) 437-3900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210218000328 | NM | DME Supplier - Orthotic Personnel |
2769897008 | Practice locations: Placitas, NM |
National Provider Directory
Locations
221 State Highway 165
Ste F
Placitas, NM 87043
Phone (505) 353-2484
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist |
222Z00000X | |||
| Prosthetist |
224P00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982292561 | Other | NPPES | |
| 37973576 | Medicaid | NM |
Other providers in Placitas, NM
- Irene Gale
- Mike Lee Gallegos
- Sally Rae Goble
- Robert Hinman
- Nadine Marie Hober
- Annette Jacks
- Herbert Koffler
- Kristin Kotkowski
- Patrick Andrew Laughlin
- Lauri Lineweaver
All providers in Placitas, NM · Prosthetic/Orthotic Supplier in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.