Organization Active NPI

Orthotechs O & P

  • Prosthetic/Orthotic Supplier
  • Kearney, NE
National Provider Identifier
1437139672
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ORTHOTECHS O & P
Practice address
3811 Central Ave
Suite F
Kearney, NE 68847-8173
Phone
(308) 865-6105
NPI assigned
Jan 21, 2006
Last updated
Jun 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Timm Wilson
Title
President
Phone
(308) 865-6060

Specialties & licenses 1

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

Addresses

Primary practice location

3811 Central Ave
Suite F
Kearney, NE 68847-8173

Mailing address

3811 Central Ave
Suite F
Kearney, NE 68847-8173
Phone (308) 865-6105

Other identifiers 1

IdentifierTypeStateIssuer
10025161300MedicaidNE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1437139672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 CENTRAL AVE",
            "address_2": "SUITE F",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478173",
            "telephone_number": "308-865-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 CENTRAL AVE",
            "address_2": "SUITE F",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478173",
            "telephone_number": "308-865-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTECHS O & P",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-21",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TIMM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-865-6060"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025161300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.