TEXAS ORTHOTIC & PROSTHETIC SYSTEMS INC (NPI# 1144296476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144296476 |
| Entity Type | Organization |
| Organization Name | TEXAS ORTHOTIC & PROSTHETIC SYSTEMS INC |
| Practice Address |
1226 South Lake St Fort Worth TX 76104 |
| Practice Telephone | 8178100901 |
| Practice Fax Number | 8178100903 |
| Mailing Telephone | 8178100901 |
| Mailing Fax Number | 8178100903 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STUART LEIGH WILLETT (OFFICE MGR) |
| Authorized Official Telephone | 8178100901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 101193 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AETNA | 6491456 | 01 |
| TX | BCBS | 530908 | 01 |
| TX | AMERI GROUP | 10030707 | 01 |
| Street Address |
1226 SOUTH LAKE ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| 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 |
|---|---|---|---|---|
| 1568878114 | Rgh Enterprises, Inc. | Prosthetic/Orthotic Supplier | 5400 Sandshell Dr, Fort Worth, TX 76137-2482 | 2014-07-03 |
| 1649524125 | En'style Hair & Total Image Studio | Prosthetic/Orthotic Supplier | 1173 Sunderland Lane, Fort Worth, TX 76134 | 2012-11-05 |
| 1639440126 | Foot Solutions of Fort Worth, Inc. | Prosthetic/Orthotic Supplier | 4825 Overton Ridge Blvd, Suite 316, Fort Worth, TX 76132-1423 | 2012-01-16 |
| 1669778916 | Survivor Gals Specialty Products and Salon LLC | Prosthetic/Orthotic Supplier | 1400 8th Ave Ste 100-a, Fort Worth, TX 76104-4110 | 2011-02-03 |
| 1770751950 | Brilliant Medical Boutique, LLC | Prosthetic/Orthotic Supplier | 6800 Harris Pkwy Ste 300, Fort Worth, TX 76132-4262 | 2008-02-11 |
| 1902925514 | Texas Orthotic and Prosthetic Systems, Inc. | Prosthetic/Orthotic Supplier | 1226 S Lake St, Fort Worth, TX 76104-4311 | 2007-03-28 |
| 1942398078 | Baker O & P Enterprises Inc | Prosthetic/Orthotic Supplier | 810 Lipscomb St, Fort Worth, TX 76104-3116 | 2006-10-11 |
| 1922000140 | Hentz Medical, Inc | Prosthetic/Orthotic Supplier | 900 Hemphill St, Fort Worth, TX 76104-3110 | 2005-06-01 |
| 1851719918 | Cranial Technologies Inc. | Prosthetic/Orthotic Supplier | 800 8th Ave, Suite 124, Fort Worth, TX 76104-2601 | 2014-04-04 |
| 1043646540 | Texas Orthotics, Inc. | Prosthetic/Orthotic Supplier | 7241 Hawkins View Dr, Fort Worth, TX 76132-3921 | 2013-09-17 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.