Organization Active NPI

Excel Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Johnson City, TN
National Provider Identifier
1457440166
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
EXCEL PROSTHETICS & ORTHOTICS INC
Doing business as
HANGER CLINIC
Practice address
1319 Sunset Dr Ste 203
Johnson City, TN 37604-7900
Phone
(434) 928-9027
Fax
(434) 928-9028
NPI assigned
Oct 12, 2006
Organization subpart
Yes
Parent organization
HANGER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Jennifer L Simmons
Title
Regulatory Compliance Analyst III
Phone
(859) 594-2709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1319 Sunset Dr Ste 203
Johnson City, TN 37604-7900

Mailing address

PO Box 650846
Dallas, TX 75265-0846

Other identifiers 3

IdentifierTypeStateIssuer
009132694MedicaidVA
009190198MedicaidVA
4581452MedicaidTN

Other names 1

  • HANGER CLINIC Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1319 Sunset Dr
Ste 203
Johnson City, TN 37604
Phone (423) 928-9027

26110 Lee Hwy
Abingdon, VA 24211
Phone (276) 623-0255

312 S Main St
Danville, VA 24541
Phone (434) 797-1191

210 W Main St
Radford, VA 24141
Phone (540) 731-1481

807 Mercer St
Princeton, WV 24740
Phone (304) 425-0286

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1457440166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 SUNSET DR STE 203",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047900",
            "telephone_number": "434-928-9027",
            "fax_number": "434-928-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PROSTHETICS & ORTHOTICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REGULATORY COMPLIANCE ANALYST III",
        "authorized_official_telephone_number": "859-594-2709"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009132694",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009190198",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4581452",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HANGER CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.