Organization Active NPI

Sampson's Prosthetic Laboratory Inc

Doing business as Hanger Clinic

  • Prosthetic/Orthotic Supplier
  • Glens Falls, NY
National Provider Identifier
1790990315
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SAMPSON'S PROSTHETIC LABORATORY INC
Practice address
92 Broad St Ste 1
Glens Falls, NY 12801-4490
Phone
(518) 374-6011
Fax
(518) 393-3292
NPI assigned
May 14, 2007
Last updated
Dec 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HANGER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Jennifer L Simmons
Title
Regulatory Compliance Analyst III
Phone
(859) 594-2709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

92 Broad St Ste 1
Glens Falls, NY 12801-4490

Mailing address

PO Box 650846
Dallas, TX 75265-0846

Other identifiers 1

IdentifierTypeStateIssuer
03003427MedicaidNY

Other names 1

  • Hanger Clinic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930074375 NY DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 7315065026 Practice locations: Glens Falls, NY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Sampsons Prosthetic & Orthotics92 Broad St, Glens Falls, NY 12801-4490(518) 374-6011 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory
Tax ID family
Sampsons Prosthetic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

400 Patroon Creek Blvd
Ste 106
Albany, NY 12206
Phone (518) 374-6011

17 Main St
Queensbury, NY 12804
Phone (518) 798-0767

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1790990315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BROAD ST STE 1",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014490",
            "telephone_number": "518-374-6011",
            "fax_number": "518-393-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPSON'S PROSTHETIC LABORATORY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REGULATORY COMPLIANCE ANALYST III",
        "authorized_official_telephone_number": "859-594-2709"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03003427",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HANGER CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hanger Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.