Active NPI
Orthotechs O & P
- Prosthetic/Orthotic Supplier
- Kearney, NE
National Provider Identifier
1437139672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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, 2010
- 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
- Timm Wilson
- Title
- President
- Phone
- (308) 865-6060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025161300 | Medicaid | NE |
National Provider Directory
National Provider DirectoryNPI 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.