Advanced Prosthetics Center LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADVANCED PROSTHETICS CENTER LLC

Doing business as

Hanger Clinic

Practice address

9109 Blondo St Ste 2
Omaha, NE 68134-6100

Phone

(402) 399-9993

Fax

(402) 778-9739

NPI assigned

Oct 11, 2005

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

Ms. Grace Angeline

Title

Reg Compliance Specialist III

Phone

(714) 961-2102

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Hanger Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Member of 1

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

• Hanger Prosthetics & Orthotics Inc

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

  Member Of

  NPD member

Locations

Practitioners 3

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

• Kathryn Kristy Hergenrother, DPT

  • Physical Therapist
  • Omaha, NE
  • NPI 1730903378
  Medicare reassignment Care Compare group NPD
• Jason Meints, DPT

  • Physical Therapist
  • Omaha, NE
  • NPI 1184989477
  Medicare reassignment Care Compare group
• Tyler James Wyant, DPT

  • Physical Therapist
  • Kearney, NE
  • NPI 1083949507
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568450880",
    "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": "9109 BLONDO ST STE 2",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346100",
            "telephone_number": "402-399-9993",
            "fax_number": "402-778-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PROSTHETICS CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2005-10-11",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-23",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6400212",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08873",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanger Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Family Eyecare PC
• Advanced Foot & Ankle LLC
• Advanced Foot & Ankle PC
• Advanced Home Health Care and Nursing, LLC
• Advanced Pediatric Therapy, LLC
• Advanced Surgery Center, LLC
• Advanced Vascular and Vein Center LLC
• Advanced Vision Therapies LLC
• Advantage Ir NE LLC
• Adventure Worth Living LLC

• Durable Medical Equipment & Medical Supplies in Omaha, NE
• Providers in Omaha, NE by specialty
• Durable Medical Equipment & Medical Supplies in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.