Organization Active NPI

Prosthetic Laboratories of Rochester Inc

  • Prosthetic/Orthotic Supplier
  • Stevens Point, WI
National Provider Identifier
1851382691
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROSTHETIC LABORATORIES OF ROCHESTER INC
Practice address
2829 Post Rd
Stevens Point, WI 54481-6416
Phone
(715) 344-9328
Fax
(715) 344-9385
NPI assigned
Nov 1, 2005
Organization subpart
Yes
Parent organization
GMS OF ROCHESTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Mr. Brian Green
Title
Ceo
Phone
(507) 281-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2829 Post Rd
Stevens Point, WI 54481-6416

Mailing address

2829 Post Rd
Stevens Point, WI 54481-6416
Phone (715) 344-9328

Other identifiers 1

IdentifierTypeStateIssuer
41790800MedicaidWI

National Provider Directory

National Provider Directory

Member of 1

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

Locations

2829 Post Rd
Stevens Point, WI 54481
Phone (715) 344-9328

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1851382691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 POST RD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544816416",
            "telephone_number": "715-344-9328",
            "fax_number": "715-344-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 POST RD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544816416",
            "telephone_number": "715-344-9328",
            "fax_number": "715-344-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC LABORATORIES OF ROCHESTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GMS OF ROCHESTER, INC",
        "enumeration_date": "2005-11-01",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-281-5250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41790800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.