MOBILITY ORTHOTICS AND PROSTHETICS (NPI# 1154506046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154506046 |
| Entity Type | Organization |
| Organization Name | MOBILITY ORTHOTICS AND PROSTHETICS |
| Practice Address |
5720 Valley St Suite 1 Alvarado TX 76009 |
| Practice Telephone | 8177832757 |
| Practice Fax Number | 8177832758 |
| Mailing Telephone | 8177832757 |
| Mailing Fax Number | 8177832758 |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | MR. DAVID R HOOK (OWNER/PRACTITIONER) |
| Authorized Official Telephone | 8172014788 |
| Authorized Official Credential | LPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 101248 | TX | Suppliers |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 101248 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE OF TEXAS FACILITY ACCREDITATION | 101248 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 532746 | 01 |
| TX | 192150401 | 05 |
| Street Address |
5720 VALLEY ST SUITE 1 |
| City | ALVARADO |
| State | TX |
| Zip Code | 76009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598277378 | James Eliezer Dechavez | Nurse Practitioner | 515 E Highway 67, Alvarado, TX 76009 | 2017-11-01 |
| 1194143016 | Lifeway Dental | Dentist | 505 E Hwy 67, Alvarado, TX 76009 | 2014-03-29 |
| 1134555485 | Us Drug Mart, Inc. | Pharmacy | 601 N Parkway Dr, Ste A, Alvarado, TX 76009 | 2013-09-18 |
| 1396095394 | Alvarado Family Dentistry | Clinic/Center | 905 N. Cummings Drive, Alavardo, TX 76009 | 2012-09-17 |
| 1174701924 | Alvarado Chiropractic Health & Wellness | Chiropractor | 805 E Hwy 67, Alvarado, TX 76009 | 2008-02-04 |
| 1790802387 | Alvarado Isd | Local Education Agency (LEA) | 110 Bill Jackson Dr, Alvarado, TX 76009 | 2007-03-26 |
| 1760573117 | Jerry Harold Hidlebaugh | Dentist | 202 East Weaver St., Alvarado, TX 76009 | 2006-09-28 |
| 1558305391 | Nick Gagich | Chiropractor | 805 E Highway 67, Alvarado, TX 76009 | 2006-06-15 |
| 1386696136 | Johnson Diaz Dellosa | Family Medicine | 515 East Highway 67, Alvarado, TX 76009 | 2006-05-17 |
| 1740895911 | Royal Haven Medical | Podiatrist | 713 Lakeview Dr, Alvarado, TX 76009-2668 | 2020-09-14 |
| Find all providers in zip 76009 | ||||
| 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 |
|---|---|---|---|---|
| 1124627997 | Tactical Rehabilitation Inc | Prosthetic/Orthotic Supplier | 2710 S. Clear Creek, Suite 110, Killeen, TX 76549-6685 | 2020-10-22 |
| 1962001123 | Tactical Rehabilitation Inc | Prosthetic/Orthotic Supplier | 2710 Clear Creek Rd Apt 110, Killeen, TX 76549-6685 | 2020-10-20 |
| 1871191643 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 2020 W State Highway 114 Ste 360, Grapevine, TX 76051-8649 | 2020-10-14 |
| 1396351573 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 1104 West 34th St., Bldg. A, Austin, TX 78705-1910 | 2020-09-22 |
| 1184230815 | Lindas Signature Hair Studio Inc | Prosthetic/Orthotic Supplier | 9415 Broadway St Ste 201, Pearland, TX 77584-8094 | 2020-09-18 |
| 1538773106 | Memorial Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 439 Mason Park Blvd Ste A1, Katy, TX 77450-4163 | 2020-09-01 |
| 1447861828 | Major Miracles Rx | Prosthetic/Orthotic Supplier | 1801 E 51st St Ste 362, Austin, TX 78723-3434 | 2020-08-11 |
| 1396355061 | Ameristep Prosthetics San Antonio | Prosthetic/Orthotic Supplier | 7271 Wurzbach Rd Ste 187, San Antonio, TX 78240-3800 | 2020-08-06 |
| 1043820327 | Ameristep Prosthetics Southwestern | Prosthetic/Orthotic Supplier | 5406 Harry Hines Blvd, Dallas, TX 75235-7211 | 2020-08-03 |
| 1083230502 | Amazing Wig Closet | Prosthetic/Orthotic Supplier | 409 W Front St Ste 100-306, Hutto, TX 78634-4204 | 2020-06-20 |
| Find all providers with the same taxonomy | ||||
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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.