Precision Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PRECISION PROSTHETICS, INC.

Practice address

1505 S Perkins Rd
Memphis, TN 38117-6530

Phone

(901) 682-1006

Fax

(901) 682-5775

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Bonni Wilke

Title

Office Manager

Phone

(901) 682-1006

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1790787083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S PERKINS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381176530",
            "telephone_number": "901-682-1006",
            "fax_number": "901-682-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S PERKINS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381176530",
            "telephone_number": "901-682-1006",
            "fax_number": "901-682-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "WILKE",
        "authorized_official_first_name": "BONNI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-682-1006",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD/ NPN",
            "identifier": "81650",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "0112460",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3556346",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PRC Psychiatry
• Precious Angels Home Care
• Precision Community Services LLC
• Precision Healthcare Inc
• Precision Healthcare Inc
• Premier Carrier
• Premier Trans 1 Non- Emergency Medical Transportation LLC
• Premier Transportation Services
• Premiertrans Non-Emergency Medical Transporation Corp.
• Premise Health of Tennessee Medical PC

• Prosthetic/Orthotic Supplier in Memphis, TN
• Providers in Memphis, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.