Active NPI
Orthopedic Technologies, Inc.
- Prosthetic/Orthotic Supplier
- Fairfield, CA
National Provider Identifier
1437263019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182441 | Medicaid | OR |
Other names 1
- Mason Orthotics & Prosthetics
National Provider Directory
National Provider DirectoryNPI 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.