Organization Active NPI

Atlas Prosthetics & Orthotics, PLLC

  • Prosthetic/Orthotic Supplier
  • Nacogdoches, TX
National Provider Identifier
1578422648
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ATLAS PROSTHETICS & ORTHOTICS, PLLC
Practice address
4110 North St
Nacogdoches, TX 75965-1817
Phone
(936) 559-1881
Fax
(936) 569-1890
NPI assigned
Jan 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Lee A Jones II, CPO, LPONPI 1073871653
Title
Owner/Clincian
Phone
(281) 781-2751

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4110 North St
Nacogdoches, TX 75965-1817

Mailing address

3129 Kingsley Dr Ste 1620
Pearland, TX 77584-8510
Phone (281) 781-2751

Other identifiers 1

IdentifierTypeStateIssuer
101822OtherTXTDLR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260409000404 TX DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 6103202999 Practice locations: Nacogdoches, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Atlas Prosthetics & Orthotics, PLLC4110 North St, Nacogdoches, TX 75965-1817(936) 559-1881 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jul 26, 2022

National Provider Directory

National Provider Directory
Tax ID family
Atlas Prosthetics Orthotics 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.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1578422648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 KINGSLEY DR STE 1620",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848510",
            "telephone_number": "281-781-2751",
            "fax_number": "281-602-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651817",
            "telephone_number": "936-559-1881",
            "fax_number": "936-569-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS PROSTHETICS & ORTHOTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CLINCIAN",
        "authorized_official_telephone_number": "281-781-2751",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "CPO, LPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDLR",
            "identifier": "101822",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.