Active NPI
Howard Orthotics and Prosthetics, LLC
- Prosthetic/Orthotic Supplier
- Watertown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- HOWARD ORTHOTICS AND PROSTHETICS, LLC
- Practice address
- 316 Sherman St
Watertown, NY 13601-3614 - Phone
- (315) 786-0655
- Fax
- (315) 786-7993
- NPI assigned
- Feb 26, 2008
- Last updated
- Aug 22, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Staub
- Title
- Vpa/Income Manager
- Phone
- (315) 786-8973
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary | |
| Orthotist | 222Z00000X | NU | ||
| Prosthetist | 224P00000X | NU |
Addresses
Primary practice location
316 Sherman St
Watertown, NY 13601-3614
Mailing address
316 Sherman Street
Watertown, NY 13601-2729
Phone (315) 786-8973
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4697030001 | Other | NY | MEDICARE DMERC |
| 02386432 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930094829 | NY | DME Supplier - Prosthetic Personnel | 2163637448 | Practice locations: Watertown, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Canton, NY
- NPI 1225482763
2163637448
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Howard Orthotics and Prosthetics, L | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Howard Orthotics and Prosthetics LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Canton, NY
- NPI 1225482763
Locations
316 Sherman St
Watertown, NY 13601
Phone (315) 786-0655
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.
-
- Orthotist
- Watertown, NY
- NPI 1316936354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566432000000",
"number": "1407025224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 SHERMAN STREET",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136012729",
"telephone_number": "315-786-8973",
"fax_number": "315-786-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 SHERMAN ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136013614",
"telephone_number": "315-786-0655",
"fax_number": "315-786-7993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOWARD ORTHOTICS AND PROSTHETICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-26",
"last_updated": "2019-08-22",
"status": "A",
"authorized_official_last_name": "STAUB",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "VPA/INCOME MANAGER",
"authorized_official_telephone_number": "315-786-8973"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC",
"identifier": "4697030001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02386432",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.