Organization Active NPI

Lone Star Prosthetics, Wichita Falls, LLC

  • Prosthetic/Orthotic Supplier
  • Wichita Falls, TX
National Provider Identifier
1619752789
Registry record updated Jul 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LONE STAR PROSTHETICS, WICHITA FALLS, LLC
Practice address
4020 Rhea Rd Ste 5D
Wichita Falls, TX 76308-2739
Phone
(940) 285-5100
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2025

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

Authorized official

Name
Bryan Pettit, LP
Title
Licensed Prosthetist
Phone
(940) 285-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4020 Rhea Rd Ste 5D
Wichita Falls, TX 76308-2739

Mailing address

PO Box 200402
Arlington, TX 76006-0402
Phone (940) 285-5100

National Provider Directory

National Provider Directory

Locations

4020 Rhea Rd
Ste 5D
Wichita Falls, TX 76308
Phone (940) 285-5100

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753574400000",
    "number": "1619752789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200402",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760060402",
            "telephone_number": "940-285-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 RHEA RD STE 5D",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082739",
            "telephone_number": "940-285-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR PROSTHETICS, WICHITA FALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "LICENSED PROSTHETIST",
        "authorized_official_telephone_number": "940-285-5100",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2025; 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.