Indiana Institute for Prosthetics LLC

Primary specialty

Amputee Clinic/CenterTaxonomy code 261QA0900X

Legal business name

INDIANA INSTITUTE FOR PROSTHETICS LLC

Practice address

1650 W Oak St
Suite 105
Zionsville, IN 46077-1962

Phone

(317) 379-4902

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Matthew HabeckerNPI 1437398310

Title

President/Clinical Director

Phone

(317) 379-4902

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Matthew Habecker

  • Prosthetist
  • Indianapolis, IN
  • NPI 1437398310

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1609133818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 S 975 E",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W OAK ST",
            "address_2": "SUITE 105",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771962",
            "telephone_number": "317-379-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA INSTITUTE FOR PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "HABECKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "317-379-4902"
    },
    "taxonomies": [
        {
            "code": "261QA0900X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Amputee",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily N Hrisomalos, MD
• Hughes Holistic Audiology LLC
• Jordan Hughes, AUD
• Delaney Hybl
• I & J'S Home Care LLC
• Indiana Radiology Professionals LLC
• Indiana University School of Medicine
• Indy Medical Supplies LLC
• Nichole R Ingersoll, NP
• Inspireability Care LLC

• Clinic/Center in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.