Organization Active NPI

Excel Prosthetics & Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Lynchburg, VA
National Provider Identifier
1609965318
Registry record updated May 25, 2021
On this page

Key facts

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

NPPES NPI Registry

Updated by the provider on May 25, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1750383956MedicaidVA
1609965318MedicaidVA

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.