Prosthetic Technologies LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIC TECHNOLOGIES LLC

Practice address

333 N Alabama St
Suite 350
Indianapolis, IN 46204-2034

Phone

(317) 804-4729

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Shaun O'Brien, CP

Title

Ceo

Phone

(317) 804-4729

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1952852220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W 9TH ST",
            "address_2": "UNIT 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N ALABAMA ST",
            "address_2": "SUITE 350",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042034",
            "telephone_number": "317-804-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC TECHNOLOGIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-804-4729",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.