Organization Active NPI

Precision Orthotic & Prosthetic Technology Inc

  • Prosthetic/Orthotic Supplier
  • Fall River, MA
National Provider Identifier
1629306352
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PRECISION ORTHOTIC & PROSTHETIC TECHNOLOGY INC
Practice address
300 Hanover St
Suite 1G
Fall River, MA 02720-5444
Phone
(508) 991-5577
Fax
(508) 991-5505
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Mr. Matthew E Hebert, CPO CFO
Title
President
Phone
(508) 991-5577

Specialties & licenses 1

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

Addresses

Primary practice location

300 Hanover St
Suite 1G
Fall River, MA 02720-5444

Mailing address

300 Hanover St
Suite 1G
Fall River, MA 02720-5444
Phone (508) 991-5577

Other identifiers 6

IdentifierTypeStateIssuer
AA33007OtherMAHARVARD PILGRIM
OWCPOtherMA610047000
400554OtherMABLUE CROSS BLUE SHIELD
00000029723OtherMABMC HEALTHNET
1528271MedicaidMA
642391OtherMATUFTS

National Provider Directory

National Provider Directory
Tax ID family
Precision Orthotic Prosthetic Technology Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 Hanover St
Ste 1G
Fall River, MA 02720
Phone (508) 991-5577

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1629306352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HANOVER ST",
            "address_2": "SUITE 1G",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205444",
            "telephone_number": "508-991-5577",
            "fax_number": "508-991-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HANOVER ST",
            "address_2": "SUITE 1G",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205444",
            "telephone_number": "508-991-5577",
            "fax_number": "508-991-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION ORTHOTIC & PROSTHETIC TECHNOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-991-5577",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO CFO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA33007",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "610047000",
            "identifier": "OWCP",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "400554",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "00000029723",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528271",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "642391",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.