Excel Prosthetics & Orthotics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

EXCEL PROSTHETICS & ORTHOTICS INC

Practice address

115 Albemarle Ave SE
Roanoke, VA 24013-2205

Phone

(540) 982-0205

Fax

(540) 982-6905

NPI assigned

Nov 9, 2006

Organization subpart

Yes

Parent organization

HANGER INCAs reported in NPPES

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

Authorized official

Name

Grace Angeline

Title

Reg Compliance Specialist III

Phone

(714) 961-2102

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Excel Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Princeton, WV
  • NPI 1528192200

  O20100930098372

  Same enrollment

Member of 2

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

• Dynamic Prosthetic & Orthotic, LLC

  • Prosthetic/Orthotic Supplier
  • Chattanooga, TN
  • NPI 1669655999

  Member Of

  NPD member
• Hanger Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Gainesville, GA
  • NPI 1659443380

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Dynamic Prosthetic & Orthotic, LLC

  • Prosthetic/Orthotic Supplier
  • Chattanooga, TN
  • NPI 1669655999

  Member Of

  NPD member

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1487724860",
    "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": "115 ALBEMARLE AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132205",
            "telephone_number": "540-982-0205",
            "fax_number": "540-982-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PROSTHETICS & ORTHOTICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2006-11-09",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "REG COMPLIANCE SPECIALIST 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147037000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "062638",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makenzee Eversole
• Nathan Everson, PHARMD
• Sarah Audrey Perry Eves
• John K Evett, M.D.
• Nadin Exantus, MD
• Excel Prosthetics & Orthotics Inc
• Express Family Care, LLC
• Eye Care & Surgery PC
• Eye Designs Optical
• Ez Rampz, Inc.

• Prosthetic/Orthotic Supplier in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.

Verify at the official NPI Registry.