Organization Active NPI

Precision Orthotic & Prosthetic Technology, Inc.

  • Prosthetic/Orthotic Supplier
  • New Bedford, MA
National Provider Identifier
1508868878
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PRECISION ORTHOTIC & PROSTHETIC TECHNOLOGY, INC.
Practice address
203 Popes Island
New Bedford, MA 02740-7232
Phone
(508) 991-5577
Fax
(508) 991-5505
NPI assigned
Jun 1, 2005
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Mr. Matthew E. Hebert, CPNPI 1023346756
Title
President
Phone
(508) 991-5577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

203 Popes Island
New Bedford, MA 02740-7232

Mailing address

203 Popes Island
New Bedford, MA 02740-7232
Phone (508) 991-5577

Other identifiers 7

IdentifierTypeStateIssuer
1528271MedicaidMA
VC0000202516OtherMAMASS REHAB
AA33007OtherMAHARVARD PILGRIM
29723OtherMABMC HEALTHNET
400554OtherMABCBS
610047000OtherMAACS OR OWCP
642391OtherMATUFTS

Other names 1

  • Precision O&P Technology, Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930006495 MA DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Prosthetic Personnel 1557572500 Practice locations: New Bedford, MA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Precision Orthotic & Prosthetic Tec203 Popes Is, New Bedford, MA 02740-7232(508) 991-5577 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Apr 15, 2005

National Provider Directory

National Provider Directory
Tax ID family
Precision Orthotic Prosthetic Technology Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

203 Popes Is
New Bedford, MA 02740
Phone (508) 542-9888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1508868878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 POPES ISLAND",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027407232",
            "telephone_number": "508-991-5577",
            "fax_number": "508-991-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 POPES ISLAND",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027407232",
            "telephone_number": "508-991-5577",
            "fax_number": "508-991-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION ORTHOTIC & PROSTHETIC TECHNOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-991-5577",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528271",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS REHAB",
            "identifier": "VC0000202516",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA33007",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "29723",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "400554",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS  OR OWCP",
            "identifier": "610047000",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "642391",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision O&P Technology, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.