Organization Active NPI

Performance Orthotics, P.C.

  • Customized Equipment (DME)
  • Kingwood, TX
National Provider Identifier
1952541393
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
PERFORMANCE ORTHOTICS, P.C.
Practice address
22704 Loop 494 Ste E
Kingwood, TX 77339-2858
Phone
(281) 973-9913
Fax
(281) 973-9945
NPI assigned
Feb 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Mr. Kevin Duane Gainer, CPED, B.O.C.F.
Title
Owner
Phone
(281) 973-9913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

22704 Loop 494 Ste E
Kingwood, TX 77339-2858

Mailing address

22704 Loop 494 Ste E
Suite E
Kingwood, TX 77339-2858
Phone (281) 973-9913

National Provider Directory

National Provider Directory

Locations

23910 Highway 59 N
Kingwood, TX 77339
Phone (281) 441-3000

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1952541393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22704 LOOP 494 STE E",
            "address_2": "SUITE E",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392858",
            "telephone_number": "281-973-9913",
            "fax_number": "281-973-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22704 LOOP 494 STE E",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392858",
            "telephone_number": "281-973-9913",
            "fax_number": "281-973-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE ORTHOTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "GAINER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-973-9913",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED, B.O.C.F."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.