Organization Active NPI

Prevail Prosthetics and Orthotics, Inc

  • Prosthetic/Orthotic Supplier
  • Warsaw, IN
National Provider Identifier
1396916888
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PREVAIL PROSTHETICS AND ORTHOTICS, INC
Practice address
3159 E Center Street Ext
Warsaw, IN 46582-3901
Phone
(260) 483-5219
Fax
(260) 484-2291
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Linda Trzynka
Title
Business Manager
Phone
(260) 483-5219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3159 E Center Street Ext
Warsaw, IN 46582-3901

Mailing address

7735 W Jefferson Blvd
Fort Wayne, IN 46804-4135
Phone (260) 483-5219

National Provider Directory

National Provider Directory
Tax ID family
Prevail Prosthetics Orthotics8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

7735 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 224-7016

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1396916888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7735 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044135",
            "telephone_number": "260-483-5219",
            "fax_number": "260-484-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 E CENTER STREET EXT",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465823901",
            "telephone_number": "260-483-5219",
            "fax_number": "260-484-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVAIL PROSTHETICS AND ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "TRZYNKA",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "260-483-5219"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.