Active NPI
Precision Orthotic & Prosthetic Technology Inc
- Prosthetic/Orthotic Supplier
- Fall River, MA
National Provider Identifier
1629306352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA33007 | Other | MA | HARVARD PILGRIM |
| OWCP | Other | MA | 610047000 |
| 400554 | Other | MA | BLUE CROSS BLUE SHIELD |
| 00000029723 | Other | MA | BMC HEALTHNET |
| 1528271 | Medicaid | MA | |
| 642391 | Other | MA | TUFTS |
National Provider Directory
National Provider Directory- Tax ID family
- Precision Orthotic Prosthetic Technology Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Fall River, MA
- NPI 1013300391
-
- Prosthetic/Orthotic Supplier
- New Bedford, MA
- NPI 1508868878
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.