Organization Active NPI

Lehotay Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Charleston, WV
National Provider Identifier
1982884433
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LEHOTAY PROSTHETICS, LLC
Practice address
624 Central Ave
Charleston, WV 25302-1912
Phone
(304) 344-0036
Fax
(304) 344-5025
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Mr. Adam John Lehotay, CPNPI 1407852023
Title
Owner
Phone
(304) 344-0036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

624 Central Ave
Charleston, WV 25302-1912

Mailing address

624 Central Ave
Charleston, WV 25302-1912
Phone (304) 344-0036

Other identifiers 1

IdentifierTypeStateIssuer
6301016000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930053933 WV DME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic-Prosthetic 9032220504 Practice locations: Charleston, WV

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Lehotay Prosthetics, LLC624 Central Ave, Charleston, WV 25302-1912(304) 344-0036 Limb Prostheses|Diabetic Shoes and Inserts Does not accept assignmentParticipating since Jan 25, 2001

National Provider Directory

National Provider Directory

Locations

624 Central Ave
Charleston, WV 25302
Phone (304) 344-0036

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1982884433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 CENTRAL AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253021912",
            "telephone_number": "304-344-0036",
            "fax_number": "304-344-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 CENTRAL AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253021912",
            "telephone_number": "304-344-0036",
            "fax_number": "304-344-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHOTAY PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "LEHOTAY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-344-0036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6301016000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.

Verify at the official NPI Registry.