Organization Active NPI

Family Orthotics and Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Lincoln, NE
National Provider Identifier
1578647608
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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 & PROSTHETICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0733220MedicaidIA
10025443400MedicaidNE
F234568OtherNEMIDLANDS CHOICE
200278950AMedicaidKS
08836OtherNEBCBS OF NE
10024962500MedicaidNE
0743112MedicaidIA

Other names 1

  • Family Orthotics and Prosthetics Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Family Orthotics Prosthetics Inc2 organizations share this tax ID, including this one
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.

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.

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

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.

Verify at the official NPI Registry.