Blue Sky Orthotic and Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BLUE SKY ORTHOTIC AND PROSTHETICS

Practice address

3141 Eagles Nest St Unit 220
Round Rock, TX 78665-2334

Phone

(512) 761-3646

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Aaron Erwin Foreman

Title

Ceo

Phone

(970) 231-1313

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1740822170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 MONTE CARMELO PL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386029",
            "telephone_number": "970-231-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 EAGLES NEST ST UNIT 220",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652334",
            "telephone_number": "512-761-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY ORTHOTIC AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-231-1313"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.