Tech Ridge Prosthetics, PLLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

1806 Issued in TX

Legal business name

TECH RIDGE PROSTHETICS, PLLC

Practice address

3503 Wild Cherry Dr Ste 13
Austin, TX 78738-1822

Phone

(512) 297-2724

Fax

(512) 467-4695

NPI assigned

Oct 6, 2016

Organization subpart

No

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

Authorized official

Name

Anthony Fraello, C.P, L.PNPI 1952861254

Title

President

Phone

(512) 993-7054

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Tech Ridge Prosthetics PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tech Ridge Prosthetics, PLLC

  • Prosthetic/Orthotic Supplier
  • Cedar Park, TX
  • NPI 1578318648
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Tech Ridge Prosthetics, PLLC

  • Prosthetic/Orthotic Supplier
  • Cedar Park, TX
  • NPI 1578318648
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Fraello, CP

  • Prosthetist
  • Austin, TX
  • NPI 1952861254
  NPD Authorized official
• Amy Lawrence, CPO

  • Prosthetist
  • Austin, TX
  • NPI 1821558115

  Orthotist

  NPD

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686960000000",
    "number": "1487104014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 WILD CHERRY DR STE 13",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787381822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 WILD CHERRY DR STE 13",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787381822",
            "telephone_number": "512-297-2724",
            "fax_number": "512-467-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TECH RIDGE PROSTHETICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A",
        "authorized_official_last_name": "FRAELLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-993-7054",
        "authorized_official_credential": "C.P, L.P"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "1806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Austin, TX
• Providers in Austin, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.