Desert Prosthetic & Orthotic Rehabilitation

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DESERT PROSTHETIC & ORTHOTIC REHABILITATION

Practice address

4915 E. Baseline Road
Suite 109
Gilbert, AZ 85234

Phone

(480) 497-9929

Fax

(480) 497-9928

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Jerry Autry

Title

Owner

Phone

(480) 497-9929

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1962699504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 E. BASELINE RD.",
            "address_2": "SUITE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-497-9929",
            "fax_number": "480-497-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E. BASELINE ROAD",
            "address_2": "SUITE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-497-9929",
            "fax_number": "480-497-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PROSTHETIC & ORTHOTIC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "AUTRY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-497-9929"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Eyesthetics PC
• Desert Heart Hospice LLC
• Desert Horizon Medical Group
• Desert Interventional Spine Consultants
• Desert Medical Group
• Desert Pulmonary & Sleep Consultants PLC
• Desert Sage Healing, LLC
• Desert Sage Integrative Care & Consulting, LLC
• Desert Shores Pediatrics
• Desert Sky Assisting

• Prosthetic/Orthotic Supplier in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Prosthetic/Orthotic Supplier in Arizona

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