Organization Active NPI

Orthopedic Technologies, Inc.

  • Prosthetic/Orthotic Supplier
  • Fairfield, CA
National Provider Identifier
1437263019
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ORTHOPEDIC TECHNOLOGIES, INC.
Doing business as
Mason Orthotics & Prosthetics
Practice address
2936 Sunbird Dr.
Fairfield, CA 94533-1243
Phone
(541) 967-7100
Fax
(541) 967-7137
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Ms. Linda Rae Mason, C.P.
Title
Owner / Prosthetist
Phone
(503) 580-3251

Specialties & licenses 1

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

Addresses

Primary practice location

2936 Sunbird Dr.
Fairfield, CA 94533-1243

Mailing address

5551 Roaring Rapids Way
Marysville, CA 95901
Phone (541) 954-3676

Other identifiers 1

IdentifierTypeStateIssuer
182441MedicaidOR

Other names 1

  • Mason Orthotics & Prosthetics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1437263019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 ROARING RAPIDS WAY",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "95901",
            "telephone_number": "541-954-3676",
            "fax_number": "541-967-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 SUNBIRD DR.",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331243",
            "telephone_number": "541-967-7100",
            "fax_number": "541-967-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC TECHNOLOGIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER / PROSTHETIST",
        "authorized_official_telephone_number": "503-580-3251",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182441",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mason Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.