Active NPI
Excel Prosthetics & Orthotics, Inc.
- Prosthetic/Orthotic Supplier
- Lynchburg, VA
National Provider Identifier
1609965318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- EXCEL PROSTHETICS & ORTHOTICS, INC.
- Practice address
- 2201 Langhorne Rd Ste a
Lynchburg, VA 24501-1125 - Phone
- (434) 528-3695
- Fax
- (434) 528-3697
- NPI assigned
- Oct 12, 2006
- Organization subpart
- Yes
- Parent organization
- HANGER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grace Angeline
- Title
- Reg Compliance Specialist III
- Phone
- (714) 961-2102
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
2201 Langhorne Rd Ste a
Lynchburg, VA 24501-1125
Mailing address
PO Box 650846
Dallas, TX 75265-0846
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750383956 | Medicaid | VA | |
| 1609965318 | Medicaid | VA |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Prosthetic And Orthotic Associates of Tennessee
- Prosthetic/Orthotic Supplier
- Chattanooga, TN
- NPI 1669655999
Member Of
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Jupiter, FL
- NPI 1184054504
Member Of
Locations
2255 Langhorne Rd
Ste A
Lynchburg, VA 24501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621900800000",
"number": "1609965318",
"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": "2201 LANGHORNE RD STE A",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011125",
"telephone_number": "434-528-3695",
"fax_number": "434-528-3697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL PROSTHETICS & ORTHOTICS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HANGER INC",
"enumeration_date": "2006-10-12",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"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"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750383956",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609965318",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.