Organization Active NPI

Orthotics Plus LLC

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
National Provider Identifier
1780862664
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
445 Issued in TX
Legal business name
ORTHOTICS PLUS LLC
Practice address
2122 Babcock Rd Ste 102
San Antonio, TX 78229-4411
Phone
(210) 692-1111
Fax
(210) 692-6041
NPI assigned
Feb 4, 2008
Last updated
Mar 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Tyler Flavin, CPO/LONPI 1356006480
Title
Manager
Phone
(210) 692-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 445 TX Primary

Addresses

Primary practice location

2122 Babcock Rd Ste 102
San Antonio, TX 78229-4411

Mailing address

2122 Babcock Rd Ste 102
San Antonio, TX 78229-4468
Phone (210) 692-1111

Other identifiers 4

IdentifierTypeStateIssuer
176263502MedicaidTX
176263503MedicaidTX
176263501MedicaidTX
176263504MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930048876 TX DME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company 9638370729 Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Orthotics Plus LLC2122 Babcock Rd, San Antonio, TX 78229-4411(210) 692-1111 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Sep 6, 2005

National Provider Directory

National Provider Directory

Locations

2122 Babcock Rd
Ste 102
San Antonio, TX 78229
Phone (210) 692-1111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1780862664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 BABCOCK RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294468",
            "telephone_number": "210-692-1111",
            "fax_number": "210-692-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 BABCOCK RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294411",
            "telephone_number": "210-692-1111",
            "fax_number": "210-692-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTICS PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "FLAVIN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-692-1111",
        "authorized_official_credential": "CPO/LO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176263502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176263503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176263501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176263504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.