AUSTIN PROSTHETIC CENTER, INC (NPI# 1033552443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033552443 |
| Entity Type | Organization |
| Organization Name | AUSTIN PROSTHETIC CENTER, INC |
| Practice Address |
1005 E Saint Elmo Rd Bldg 9 Austin TX 78745-1233 |
| Mailing Address |
1005 East Saint Elmo Road Bldg 9 Austin TX 78745 |
| Practice Telephone | (512) 937-9310 |
| Practice Fax Number | 8556309574 |
| Mailing Telephone | (512) 937-9310 |
| Mailing Fax Number | 8556309574 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | TRACEY RUSS JR. (PRESIDENT) |
| Authorized Official Telephone | 5122021550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | 101427 | TX | Suppliers |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | TX | Suppliers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5656 Bee Caves Rd., Suite G200, Austin, TX 78746 | 5129379310 | 8556309574 |
| Street Address |
1005 E SAINT ELMO RD BLDG 9 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351573 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 1104 West 34th St., Bldg. A, Austin, TX 78705-1910 | 2020-09-22 |
| 1447861828 | Major Miracles Rx | Prosthetic/Orthotic Supplier | 1801 E 51st St Ste 362, Austin, TX 78723-3434 | 2020-08-11 |
| 1396302493 | Neu Limbs, LLC | Prosthetic/Orthotic Supplier | 111 W Anderson Ln Ste A102, Austin, TX 78752-1132 | 2019-05-23 |
| 1891261046 | Axis Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 8906 Wall St Ste 608, Austin, TX 78754-4545 | 2018-10-15 |
| 1558843607 | Opsolutions, LLC | Prosthetic/Orthotic Supplier | 706 W Ben White Blvd Ste 194, Austin, TX 78704-8124 | 2018-09-05 |
| 1023510369 | Blue Sky Orthotic and Prosthetics | Prosthetic/Orthotic Supplier | 1104 W 34th St Bldg A, Austin, TX 78705-1908 | 2018-03-02 |
| 1295262814 | Atlas Orthopedic Products LLC | Prosthetic/Orthotic Supplier | 13785 Research Blvd Ste 125, Austin, TX 78750 | 2017-05-12 |
| 1255887519 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 3111 Palm Way, Austin, TX 78758 | 2016-08-28 |
| 1053779231 | Capital Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 209 E Ben White Blvd Ste 204, Austin, TX 78704-7390 | 2016-02-03 |
| 1780059576 | The Postureperfector LLC | Prosthetic/Orthotic Supplier | 8302 Cornerwood Dr, Austin, TX 78717-5336 | 2015-12-06 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.