NPIMap

Organization Active NPI

Nutech Orthotics & Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Brownsville, TX
National Provider Identifier
1730252578
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
85 Issued in TX
Legal business name
NUTECH ORTHOTICS & PROSTHETICS, LLC
Practice address
302 Lorenaly Dr
Suite G
Brownsville, TX 78526
Phone
(956) 350-0550
Fax
(956) 350-0554
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Douglass J Wacker, CPO, LPO
Title
Member, Manager
Phone
(956) 412-5347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 85 TX Primary

Addresses

Primary practice location

302 Lorenaly Dr
Suite G
Brownsville, TX 78526

Mailing address

302 Lorenaly Dr
Suite G
Brownsville, TX 78526
Phone (956) 350-0550

National Provider Directory

National Provider Directory
Tax ID family
Nutech Orthotics Prosthetics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730252578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 LORENALY DR",
            "address_2": "SUITE G",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78526",
            "telephone_number": "956-350-0550",
            "fax_number": "956-350-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 LORENALY DR",
            "address_2": "SUITE G",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78526",
            "telephone_number": "956-350-0550",
            "fax_number": "956-350-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTECH ORTHOTICS & PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WACKER",
        "authorized_official_first_name": "DOUGLASS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER, MANAGER",
        "authorized_official_telephone_number": "956-412-5347",
        "authorized_official_credential": "CPO, LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "85",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.