Texoma Orthotics and Prosthetics, PLLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

LPO86, LO52 Issued in OK

Legal business name

TEXOMA ORTHOTICS AND PROSTHETICS, PLLC

Practice address

1915 W Gore Blvd
Ste 1
Lawton, OK 73501-3661

Phone

(580) 699-8690

Fax

(580) 699-8692

NPI assigned

Oct 20, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Connie M Chelenza, CO, LNPI 1780931543

Title

Owner

Phone

(580) 699-8690

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Texoma O & P Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connie M Chelenza, CPO, LPO

  • Prosthetist
  • Lawton, OK
  • NPI 1780931543

  Orthotist

  NPD Authorized official
• Nicholas J Chelenza III, CPO, L

  • Prosthetist
  • Lawton, OK
  • NPI 1144577909

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1350691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1831442318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 W GORE BLVD",
            "address_2": "STE 1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013661",
            "telephone_number": "580-699-8690",
            "fax_number": "580-699-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 W GORE BLVD",
            "address_2": "STE 1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013661",
            "telephone_number": "580-699-8690",
            "fax_number": "580-699-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA ORTHOTICS AND PROSTHETICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-20",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "CHELENZA",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-699-8690",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CO, L"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OK",
            "license": "LPO86, LO52",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200472830 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texoma O & P",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherry Teague
• Delia J Tebedo
• Randy Lee Terrell, D.O.
• Kelsie Elizabeth Terry
• Julie Testerman
• De'Lisa Monique Thacker
• Manju Ani Thankachan, CRNA
• Sarala Thapa Shrestha, FNP
• Robin Wilson Tharrington, MSW
• The Barefoot Lotus LLC

• Prosthetic/Orthotic Supplier in Lawton, OK
• Providers in Lawton, OK by specialty
• Prosthetic/Orthotic Supplier in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.