PROSTHETIC ONE (NPI# 1255841482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255841482 |
| Entity Type | Organization |
| Organization Name | PROSTHETIC ONE |
| Practice Address |
3125 Matlock Rd Ste 100 Arlington TX 76015 |
| Mailing Address |
3125 Matlock Rd Ste 100 Arlington TX 76015-2905 |
| Practice Telephone | 6823235921 |
| Practice Fax Number | 6823235974 |
| Mailing Telephone | 6823235921 |
| Mailing Fax Number | 6823235974 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MARCUS T BAKER (PRESIDENT) |
| Authorized Official Telephone | 9017951776 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 101575 | TX | Suppliers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11908 Kanis Rd Ste G7, Little Rock, AR 722113773 | 5019169632 | 5019169632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184104309 | Prosthetic One | Prosthetic/Orthotic Supplier | 11908 Kanis Rd Ste G7, Little Rock, AR 72211-3773 | 2018-08-16 |
| 1891232617 | Prosthetic One | Prosthetic/Orthotic Supplier | 3125 Matlock Rd Ste 100, Arlington, TX 76015-2905 | 2017-01-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROSTHETIC ONE INC | 11908 Kanis Rd Ste G7, Little Rock, AR 72211-3773 |
| Street Address |
3125 MATLOCK RD STE 100 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891232617 | Prosthetic One | Prosthetic/Orthotic Supplier | 3125 Matlock Rd Ste 100, Arlington, TX 76015-2905 | 2017-01-31 |
| 1922667948 | Batool Summer Siddiqui | Orthotist | 3125 Matlock Rd Ste 100, Arlington, TX 76015-2905 | 2019-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358955 | Shavon Ohiomu | Licensed Vocational Nurse | 3402 Timberwood Circle Apt 2130, Arlington, TX 76015 | 2018-03-01 |
| 1194235580 | In Balance In Control, L.L.C. | Massage Therapist | 1402 W Mayfield Rd, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1063922458 | Kenneth Eugene Frey II | Massage Therapist | 1402 West Mayfield Road, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1285181263 | U S Anesthesia Partners of Texas, Pa | Nurse Practitioner | 800 W Arbrook, Suite 120, Arlington, TX 76015 | 2016-09-07 |
| 1659739365 | Danika Rasmussengeter | Chiropractor | 1216 Florida Dr # 130, Arlington, TX 76015 | 2016-02-09 |
| 1962809541 | Texas Rehabilitation Hospital of Arlington, LLC | Rehabilitation Hospital | 900 West Arbrook Blvd, Arlington, TX 76015 | 2014-11-26 |
| 1528470473 | Felicia Montgomery | Doula | 3903 Melear Drive, Unit 151681, Arlington, TX 76015 | 2014-05-27 |
| 1437572427 | E.s. Drugs Inc. | Pharmacy | 3295 S. Cooper Street #107, Arlington, TX 76015 | 2014-01-27 |
| 1477802890 | James Tra | Pharmacist | 1600 West Arbrook Blvd, Arlington, TX 76015 | 2012-08-30 |
| 1225397912 | Apsp-arlington, LLC | Clinical Medical Laboratory | 1348 W. Mayfield Road, Suite 200, Arlington, TX 76015 | 2012-05-15 |
| Find all providers in zip 76015 | ||||
| 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 |
|---|---|---|---|---|
| 1467953653 | Lone Star Prosthetics, LLC | Prosthetic/Orthotic Supplier | 2201 Brookhollow Plaza Dr Ste 350, Arlington, TX 76006-7443 | 2018-02-23 |
| 1154849149 | Certified Prosthetics & Orthotics - East | Prosthetic/Orthotic Supplier | 2445 Army Navy Dr Ste 305, Arlington, VA 22206-2905 | 2017-08-30 |
| 1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
| 1487188900 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 631 Matlock Centre Cir, Arlington, TX 76015-2535 | 2017-04-12 |
| 1891232617 | Prosthetic One | Prosthetic/Orthotic Supplier | 3125 Matlock Rd Ste 100, Arlington, TX 76015-2905 | 2017-01-31 |
| 1386090819 | Choice Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 2445 Army Navy Dr Ste 301, Arlington, VA 22206-2988 | 2016-05-13 |
| 1174827604 | Embrace Diabetes Footwear Solutions | Prosthetic/Orthotic Supplier | 982 N Cooper St, Arlington, TX 76011-5779 | 2010-12-23 |
| 1023027679 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 1400 S Hayes St, Arlington, VA 22202-5003 | 2006-08-05 |
| 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.