Nextremity Prosthetic Design, LLC

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

NEXTREMITY PROSTHETIC DESIGN, LLC

Doing business as

Goal Pediatric Orthotics

Practice address

4115 E Valley Auto Dr Ste 202
Mesa, AZ 85206-4612

Phone

(800) 311-5899

Fax

(866) 710-3106

NPI assigned

Aug 26, 2016

Last updated

Jun 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Hermosillo

Title

Owner

Phone

(801) 830-6161

Specialties & licenses 1

Addresses

Other names 1

• Goal Pediatric Orthotics Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lorin Christopher Merkley, C.P.

  • Prosthetist
  • Mesa, AZ
  • NPI 1770938946
  NPD (past)

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1861948242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E 1000 S STE F",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623694",
            "telephone_number": "855-407-1227",
            "fax_number": "855-228-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 E VALLEY AUTO DR STE 202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064612",
            "telephone_number": "800-311-5899",
            "fax_number": "866-710-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTREMITY PROSTHETIC DESIGN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "HERMOSILLO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-830-6161"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goal Pediatric Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Prosthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.