Individual provider Active NPI

Amy Lawrence, CPO

  • Prosthetist
  • Austin, TX
National Provider Identifier
1821558115
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
1980 Issued in TX
Practice address
3503 Wild Cherry Dr Ste 13
Austin, TX 78738-1822
Phone
(512) 297-2724
Fax
(512) 467-4695
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 1980 TX
Prosthetist 224P00000X 1980 TX Primary

Addresses

Primary practice location

3503 Wild Cherry Dr Ste 13
Austin, TX 78738-1822

Mailing address

3503 Wild Cherry Dr Ste 13
Austin, TX 78738-1822
Phone (512) 297-2724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1980TXMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Tech Ridge Prosthetics, PLLC Orthotist CurrentSince Jun 18, 2023 Accepting new patients
Tech Ridge Prosthetics, PLLC CurrentSince Apr 28, 2024 Accepting new patients

Locations

1508 Dessau Ridge Ln
Ste 601
Austin, TX 78754
Phone (512) 297-2724

3503 Wild Cherry Dr
Ste 13
Lakeway, TX 78738
Phone (512) 297-2724

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1821558115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 WILD CHERRY DR STE 13",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787381822",
            "telephone_number": "512-297-2724",
            "fax_number": "512-467-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 WILD CHERRY DR STE 13",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787381822",
            "telephone_number": "512-297-2724",
            "fax_number": "512-467-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "AMY",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-06-16",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "1980",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "1980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.