Active NPI
Patrick Houston, CFO
- Orthotic Fitter
- Wilson, NC
National Provider Identifier
1700470531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- CFO05241
- Practice address
- 2693 Forest Hills Rd SW Ste E
Wilson, NC 27893-8611 - Phone
- (252) 991-6109
- Fax
- (252) 991-6110
- NPI assigned
- Feb 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | CFO05241 | NC | Primary |
Addresses
Primary practice location
2693 Forest Hills Rd SW Ste E
Wilson, NC 27893-8611
Mailing address
2693 Forest Hills Rd SW Ste E
Wilson, NC 27893-8611
Phone (252) 991-6109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFO05241 | NC | MD | Orthotic Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Brace & Limb | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Fayetteville, NC
- NPI 1689992851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1700470531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2693 FOREST HILLS RD SW STE E",
"city": "WILSON",
"state": "NC",
"postal_code": "278938611",
"telephone_number": "252-991-6109",
"fax_number": "252-991-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2693 FOREST HILLS RD SW STE E",
"city": "WILSON",
"state": "NC",
"postal_code": "278938611",
"telephone_number": "252-991-6109",
"fax_number": "252-991-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "PATRICK",
"credential": "CFO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-23",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "NC",
"license": "CFO05241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.