Premier Orthotics & Prosthetics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PREMIER ORTHOTICS & PROSTHETICS, LLC

Practice address

197 Bougainvillea Dr Ste B
Rockledge, FL 32955-2402

Phone

(321) 372-5102

Fax

(321) 372-5106

NPI assigned

Jan 27, 2025

Organization subpart

Yes

Parent organization

PREMIER ORTHOTICS & PROSTHETICS, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Terry M Bentley, OWNER

Title

Administrator

Phone

(321) 372-5102

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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).

• Premier Orthotics & Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Melbourne, FL
  • NPI 1982175303

  8224378161

  Same PAC ID

Tax ID family

Premier Orthotics Prosthetics LLC2 organizations share this tax ID, including this one

Part of

Premier Orthotics Prosthetics LLC

Other organizations with this tax ID 1

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

• Premier Orthotics & Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Melbourne, FL
  • NPI 1982175303
  NPD tax ID

Locations

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.

• Premier Orthotics & Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Melbourne, FL
  • NPI 1982175303
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Beth Cummings Morgan, PT, DPT, GCS

  • Physical Therapist
  • Melbourne, FL
  • NPI 1578189692
  NPD

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1386456291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 BRYAN ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015958",
            "telephone_number": "321-372-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 BOUGAINVILLEA DR STE B",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552402",
            "telephone_number": "321-372-5102",
            "fax_number": "321-372-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOTICS & PROSTHETICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER ORTHOTICS & PROSTHETICS, LLC",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-372-5102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Positive Behavioral Outcomes Inc
• Penny Louise Potter, SUDCC
• Angela K Potucek
• Christy Lynne Powell, APRN
• Darin Pranzoni, PT, ATC
• Premium Edge, LLC
• Brittany Pres
• Rosalind Prescott
• Presgar Imaging of Rockledge LLC
• Andrea Ruth Press, OT, CHT

• Prosthetic/Orthotic Supplier in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.