ELITE PROSTHETICS & ORTHOTICS INC (NPI# 1003886003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003886003 |
| Entity Type | Organization |
| Organization Name | ELITE PROSTHETICS & ORTHOTICS INC |
| Other Organization Name | ELITE PROSTHETICS |
| Practice Address |
2105 Franklin Ave Waco TX 76701 |
| Practice Telephone | 2547526352 |
| Practice Fax Number | 2547142314 |
| Mailing Telephone | 2547526352 |
| Mailing Fax Number | 2547142314 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2013-06-17 |
| Authorized Official Name | MR. JON EMIL ODLING (PRESIDENT) |
| Authorized Official Telephone | 2547526352 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 101117 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1708059-02 | 05 |
| Other Name | Type Code |
|---|---|
| Elite Prosthetics | Doing Business As Name - Organization |
| Street Address |
2105 FRANKLIN AVE |
| City | WACO |
| State | TX |
| Zip Code | 76701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387218 | Elite Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2105 Franklin Ave, Waco, TX 76701-1632 | 2018-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780005744 | Cenikor Foundation | Counselor | 900 Austin Avenue, Suite 1103, Waco, TX 76701 | 2013-12-18 |
| 1730412073 | Lauren Corinne Smith | Occupational Therapist | 900 Washington Avenue, Waco, TX 76701 | 2009-09-17 |
| 1750554093 | Juanita Castillo | Internal Medicine | 1226 Washington Avenue, Waco, TX 76701 | 2008-04-08 |
| 1306958426 | Daniel Ray Davis | Dentist | 2305 Austin, Waco, TX 76701 | 2006-08-31 |
| 1740680750 | Kayleigh Anderson | Counselor | 110 S 12th St, Waco, TX 76701 | 2014-08-27 |
| 1477821593 | Michelle Elizabeth Girard | Speech-Language Pathologist | 900 Washington Ave, Waco, TX 76701 | 2011-12-03 |
| 1871781302 | Robert Craig Rainey | Family Medicine | 1226 Washington Ave, Waco, TX 76701 | 2007-10-10 |
| 1407972581 | Sarah S. Allen | Marriage & Family Therapist | 110 S 12th St, Waco, TX 76701 | 2007-03-21 |
| 1730478777 | Garret Pool | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2011-03-30 |
| 1023379104 | Lianda Mirella Martinez | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2012-06-05 |
| Find all providers in zip 76701 | ||||
| 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 |
|---|---|---|---|---|
| 1881182640 | Waco Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 201 Colonnade Pkwy Ste 101, Waco, TX 76712-6174 | 2018-04-27 |
| 1902047285 | Providence Health Services of Waco, Inc | Prosthetic/Orthotic Supplier | 6600 Fish Pond Road, Suite 104, Waco, TX 76710 | 2009-03-16 |
| 1528163128 | Rmd & K Inc | Prosthetic/Orthotic Supplier | 7724 Central Park Dr, Waco, TX 76712-6535 | 2006-09-14 |
| 1588647226 | United Rehab Specialists, Inc. | Prosthetic/Orthotic Supplier | 6807b Woodway Dr, Waco, TX 76712-6146 | 2005-11-28 |
| 1073506457 | Providence Health Services of Waco | Prosthetic/Orthotic Supplier | 540 Meadowlake Ctr, Waco, TX 76712-3981 | 2005-08-31 |
| 1003387218 | Elite Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2105 Franklin Ave, Waco, TX 76701-1632 | 2018-12-16 |
| 1134526296 | Advanced Prosthetic Research Waco, Inc. | Prosthetic/Orthotic Supplier | 2410 Wycon Dr, Ste 101, Waco, TX 76712-8957 | 2014-12-04 |
| 1881921450 | Twin City Orthotics & Prosthetics of Waco | Prosthetic/Orthotic Supplier | 6600 Sanger Ave, Suite 13, Waco, TX 76710-7814 | 2009-11-03 |
| 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.