Active NPI
Family Orthotics and Prosthetics Inc
- Prosthetic/Orthotic Supplier
- Lincoln, NE
National Provider Identifier
1578647608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- FAMILY ORTHOTICS AND PROSTHETICS INC
- Practice address
- 5550 S 59TH St
Suite 24
Lincoln, NE 68516-2398 - Phone
- (402) 438-4340
- Fax
- (402) 438-4365
- NPI assigned
- Oct 25, 2006
- Organization subpart
- Yes
- Parent organization
- FAMILY ORTHOTICS & PROSTHETICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan C Pavlicek
- Title
- Patient Accounts
- Phone
- (308) 338-3550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NE | Primary |
Addresses
Primary practice location
5550 S 59TH St
Suite 24
Lincoln, NE 68516-2398
Mailing address
PO Box 1510
Kearney, NE 68848-1510
Phone (308) 338-3550
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0733220 | Medicaid | IA | |
| 10025443400 | Medicaid | NE | |
| F234568 | Other | NE | MIDLANDS CHOICE |
| 200278950A | Medicaid | KS | |
| 08836 | Other | NE | BCBS OF NE |
| 10024962500 | Medicaid | NE | |
| 0743112 | Medicaid | IA |
Other names 1
- Family Orthotics and Prosthetics Inc
National Provider Directory
National Provider Directory- Tax ID family
- Family Orthotics Prosthetics Inc
- Part of
- Family Orthotics Prosthetics Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Kearney, NE
- NPI 1508882473
Locations
5550 S 59th St
Ste 24
Lincoln, NE 68516
Phone (402) 413-5425
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Prosthetic/Orthotic Supplier
- Kearney, NE
- NPI 1508882473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1578647608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688481510",
"telephone_number": "308-338-3550",
"fax_number": "308-338-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 S 59TH ST",
"address_2": "SUITE 24",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685162398",
"telephone_number": "402-438-4340",
"fax_number": "402-438-4365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY ORTHOTICS AND PROSTHETICS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAMILY ORTHOTICS & PROSTHETICS",
"enumeration_date": "2006-10-25",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "PAVLICEK",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PATIENT ACCOUNTS",
"authorized_official_telephone_number": "308-338-3550"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0733220",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025443400",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "F234568",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200278950A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NE",
"identifier": "08836",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10024962500",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0743112",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Orthotics and Prosthetics Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lincoln, NE
- Family Dermatology of Nebraska LLC
- Family First Dental Associates of West Point, P.C.
- Family First Inc.
- Family Health & Wellness Center, P.C.
- Family Health Associates LLC
- Family Physicians Group, PC
- Family Psychiatric Associates of Lincoln P.C.
- Family Psychological Services, Inc.
- Family Solutions
- Kalli Fandrich
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.