Active NPI
Hanger Prosthetics & Orthotics Inc
- Prosthetic/Orthotic Supplier
- Ithaca, NY
National Provider Identifier
1982778866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- HANGER PROSTHETICS & ORTHOTICS INC
- Practice address
- 310 Taughannock Blvd Ste 1a
Ithaca, NY 14850-3251 - Phone
- (607) 277-6620
- Fax
- (607) 277-2533
- NPI assigned
- Nov 20, 2006
- Last updated
- Aug 12, 2023
- Organization subpart
- Yes
- Parent organization
- HANGER INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grace Angeline
- Title
- Provider Contract Analyst III
- Phone
- (714) 961-2102
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
310 Taughannock Blvd Ste 1a
Ithaca, NY 14850-3251
Mailing address
PO Box 650846
Dallas, TX 75265-0846
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01773679 | Medicaid | NY | |
| 1007285770014 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930001362 | NY | DME Supplier - Prosthetic Personnel | 5496873853 | Practice locations: Ithaca, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hanger Prosthetics & Orthotics Inc | Neuromuscular Elect Stimulators (NMES)/Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Hanger Prosthetics and
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Geneva, NY
- NPI 1073687950
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Rochester, NY
- NPI 1437223583
-
dba Rusk Institute of Rehab Medicine
- Durable Medical Equipment & Medical Supplies
- New York, NY
- NPI 1730253873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691798400000",
"number": "1982778866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650846",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 TAUGHANNOCK BLVD STE 1A",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503251",
"telephone_number": "607-277-6620",
"fax_number": "607-277-2533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANGER PROSTHETICS & ORTHOTICS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HANGER INC.",
"enumeration_date": "2006-11-20",
"last_updated": "2023-08-12",
"certification_date": "2023-08-12",
"status": "A",
"authorized_official_last_name": "ANGELINE",
"authorized_official_first_name": "GRACE",
"authorized_official_title_or_position": "PROVIDER CONTRACT ANALYST III",
"authorized_official_telephone_number": "714-961-2102"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01773679",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007285770014",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2023; 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.