CENTRAL TEXAS ORTHOTICS & PROSTHETICS, LP (NPI# 1659483725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659483725 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS ORTHOTICS & PROSTHETICS, LP |
| Practice Address |
2112 E Villa Maria Rd Bryan TX 77802-2542 |
| Practice Telephone | 9797311985 |
| Practice Fax Number | 9797768447 |
| Mailing Telephone | 9797311985 |
| Mailing Fax Number | 9797768447 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | MR. JONATHAN CASSENS (PRESIDENT) |
| Authorized Official Telephone | 9797311985 |
| Authorized Official Credential | CPO, LPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | SCOTT AND WHITE ID | 22102 | 01 |
| TX | 145737601 | 05 | |
| TX | BCBS PROVIDER ID | 515099 | 01 |
| TX | STATE LICENSE-FACILITY | 000140 | 01 |
| Street Address |
2112 E VILLA MARIA RD |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-2542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124008990 | Jonathan Cassens | Orthotist | 2112 E Villa Maria Rd, Bryan, TX 77802-2542 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730544982 | Bean Family Enterprises | Durable Medical Equipment & Medical Supplies | 7036 Coyote Run, Bryan, TX 77808-5202 | 2015-12-15 |
| 1952654071 | Auto & Home Mobility Solutions | Durable Medical Equipment & Medical Supplies | 8885 E State Highway 21, Bryan, TX 77808-8673 | 2012-10-26 |
| 1093958233 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2350 Boonville Rd, Bryan, TX 77808-2225 | 2009-04-17 |
| 1801073705 | Heavenly Angels Durable Medical Supplies | Durable Medical Equipment & Medical Supplies | 1706 E 29th St, Ste. 103, Bryan, TX 77802-1425 | 2008-01-23 |
| 1326105842 | Daavlin Distributing Co | Durable Medical Equipment & Medical Supplies | 205 W Bement St, Bryan, OH 43506-1264 | 2007-01-03 |
| 1104985654 | Greene Eyes Pa | Durable Medical Equipment & Medical Supplies | 725 E Villa Maria Rd Ste 1500, Bryan, TX 77802-5345 | 2006-12-08 |
| 1427122704 | Joe D Crnkovic Dba Audible Hearing Center | Durable Medical Equipment & Medical Supplies | 2305 Cavitt Ave, Bryan, TX 77801-2006 | 2006-11-20 |
| 1821161357 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 2303 Boonville Rd, Bryan, TX 77808-2232 | 2006-11-15 |
| 1063594240 | Health Care Solutions At Home Inc. | Durable Medical Equipment & Medical Supplies | 05673 St Rte 15, Bryan, OH 43506-8878 | 2006-10-19 |
| 1003823980 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3312 E 29th St, Bryan, TX 77802-2730 | 2006-08-02 |
| Find all providers in BRYAN | ||||
Please comment or provide details below to improve the information on CENTRAL TEXAS ORTHOTICS & PROSTHETICS, LP.
| 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.