Prosthetic Laboratories of Rochester Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIC LABORATORIES OF ROCHESTER INC

Practice address

20 2ND Ave SW
Ste 115
Rochester, MN 55902-3027

Phone

(507) 289-1512

Fax

(507) 289-2083

NPI assigned

Nov 1, 2005

Organization subpart

Yes

Parent organization

HANGER INCAs reported in NPPES

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

Authorized official

Name

Sheryl Price

Title

Director of Reimbursement

Phone

(503) 493-8288

Specialties & licenses 2

Addresses

Other identifiers 3

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hanger Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Gainesville, GA
  • NPI 1659443380

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1811988652",
    "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",
            "telephone_number": "507-289-1512",
            "fax_number": "507-289-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 2ND AVE SW",
            "address_2": "STE 115",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023027",
            "telephone_number": "507-289-1512",
            "fax_number": "507-289-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC LABORATORIES OF ROCHESTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2005-11-01",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "503-493-8288"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "974120800",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41792300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0722637",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio Privitera, MD
• Julie L Probach, RN
• Lindsey Prodoehl, DNP, APRN, CNP
• Jacquelyn M Proper
• Paul Proshek
• Prosthetic Laboratories of Rochester, Inc
• Sasha Diane Proszek-Hicks
• Breanne Prothero
• Sarah Lynn Provencher, MD
• Whitney Rae Prude, PHARMD

• Prosthetic/Orthotic Supplier in Rochester, MN
• Providers in Rochester, MN by specialty
• Prosthetic/Orthotic Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.