Mitchel Earl Presley Jr., L.P.O.

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

55 Issued in TX

Practice address

4800 NE Stallings Dr
Suite 1600
Nacogdoches, TX 75965-1249

Phone

(936) 622-3832

Fax

(936) 622-3851

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Twin City Orthotics & Prosthetics of Waco

  • Prosthetic/Orthotic Supplier
  • Waco, TX
  • NPI 1881921450
  Authorized official Same address or phone
• Twin City Orthotics & Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Nacogdoches, TX
  • NPI 1184824807
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185062400000",
    "number": "1952483844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 DALLAS ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651959",
            "telephone_number": "936-622-3850",
            "fax_number": "936-622-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE STALLINGS DR",
            "address_2": "SUITE 1600",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651249",
            "telephone_number": "936-622-3832",
            "fax_number": "936-622-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "MITCHEL",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.P.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "TX",
            "license": "55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Peyton Porterfield, MA, LPC
• Kalen Macalpine Poston, DPT
• Gary E Poulson, RPH
• Derek Powers, DDS
• Practitioners on the Go LLC
• Dustin Cole Pressley, APRN, FNP-C
• Justin Lee Price, M.D.
• Hannah Harvey Prince
• Procare Emergency Physicians Nacogdoches PLLC
• Procare Nacogdoches LLC (Excel ER Nacogdoches)

• Orthotic Fitter in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Orthotic Fitter in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2007; 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.