Active NPI
Hanger Prosthetics & Orthotics, Inc.
- Prosthetic/Orthotic Supplier
- Decatur, IL
National Provider Identifier
1457466286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- HANGER PROSTHETICS & ORTHOTICS, INC.
- Practice address
- 1910 S Mount Zion Rd Ste D
Decatur, IL 62521-8425 - Phone
- (217) 429-6656
- NPI assigned
- Aug 20, 2006
- Organization subpart
- Yes
- Parent organization
- HANGER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grace Angeline
- Title
- Provider Contract Analyst III
- Phone
- (714) 961-2102
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1910 S Mount Zion Rd Ste D
Decatur, IL 62521-8425
Mailing address
PO Box 650846
Dallas, TX 75265-0846
Other names 1
- Hanger Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930030455 | IL | DME Supplier - Orthotic Personnel | 5496873853 | Practice locations: Decatur, IL |
National Provider Directory
National Provider Directory- Tax ID family
- J E Hanger Inc
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Prosthetic/Orthotic Supplier
- Peoria, IL
- NPI 1114324076
-
- Prosthetic/Orthotic Supplier
- Urbana, IL
- NPI 1851466635
-
- Prosthetic/Orthotic Supplier
- Normal, IL
- NPI 1083016752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715040000000",
"number": "1457466286",
"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": "1910 S MOUNT ZION RD STE D",
"city": "DECATUR",
"state": "IL",
"postal_code": "625218425",
"telephone_number": "217-429-6656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANGER PROSTHETICS & ORTHOTICS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HANGER, INC.",
"enumeration_date": "2006-08-20",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A",
"authorized_official_last_name": "ANGELINE",
"authorized_official_first_name": "GRACE",
"authorized_official_title_or_position": "PROVIDER CONTRACT ANALYST III",
"authorized_official_telephone_number": "714-961-2102"
},
"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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hanger Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.