Organization Active NPI

Prescott Limb & Braces Inc

  • Prosthetic/Orthotic Supplier
  • Fredericksburg, TX
National Provider Identifier
1629130182
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
101009 Issued in TX
Legal business name
PRESCOTT LIMB & BRACES INC
Practice address
810 N Llano St
Fredericksburg, TX 78624-3922
Phone
(830) 990-8925
Fax
(830) 606-3829
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Mr. Gary Wayne Prescott, C.O.
Title
Owner
Phone
(830) 990-8925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 101009 TX Primary

Addresses

Primary practice location

810 N Llano St
Fredericksburg, TX 78624-3922

Mailing address

6715 San Pedro Ave
San Antonio, TX 78216-7218
Phone (210) 224-0726

Other names 1

  • Prescotts Orthotics and Prosthetics Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1629130182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167218",
            "telephone_number": "210-224-0726",
            "fax_number": "210-341-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N LLANO ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786243922",
            "telephone_number": "830-990-8925",
            "fax_number": "830-606-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT LIMB & BRACES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-990-8925",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescotts Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.