TECH RIDGE PROSTHETICS, PLLC (NPI# 1487104014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487104014 |
| Entity Type | Organization |
| Organization Name | TECH RIDGE PROSTHETICS, PLLC |
| Practice Address |
1508 Dessau Ridge Ln Suite 601 Austin TX 78754-2119 |
| Practice Telephone | 8608303230 |
| Mailing Telephone | 5122972724 |
| Mailing Fax Number | 5124674695 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | ANTHONY FRAELLO (PRESIDENT) |
| Authorized Official Telephone | 5129937054 |
| Authorized Official Credential | C.P, L.P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 1806 | TX | Suppliers |
| Street Address |
1508 DESSAU RIDGE LN SUITE 601 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78754-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811172554 | Toan M Nguyen | Dentist | 1508 Dessau Ridge Ln, # 604, Austin, TX 78754-2119 | 2007-12-31 |
| 1386098721 | Enlightened Chiropractic, Inc | Chiropractor | 1508 Dessau Ridge Ln, Unit 702, Austin, TX 78754-2122 | 2016-04-22 |
| 1871956474 | Khanh N Nguyen | Chiropractor | 1508 Dessau Ridge Ln, Apt 702, Austin, TX 78754-2122 | 2016-03-31 |
| 1710244256 | Li-ping Lin | Dentist | 1508 Dessau Ridge Ln, #605, Austin, TX 78754-2119 | 2012-04-23 |
| 1174816078 | Dessau Family Dentistry | Dentist | 1508 Dessau Ridge Ln, Suite#604, Austin, TX 78754-2119 | 2011-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425214 | Paul Lewis Duffy | Counselor | Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 | 2020-10-20 |
| 1174006324 | Lannie Hood | Licensed Practical Nurse | 9017 Wellesley Dr, Austin, TX 78754 | 2018-09-13 |
| 1013499680 | Angela Mccaughey | Physical Therapy Assistant | 6513 Boyce Ln, Austin, TX 78754 | 2018-08-30 |
| 1518484351 | St. Teresa of Calcutta Home Health, LLC | Home Health Aide | 12609 Dessau Rd. Lot 313, Austin, TX 78754 | 2017-08-23 |
| 1386050573 | Tuyen Dao | Pharmacist | 11403 Birchover Lane, Austin, TX 78754 | 2014-07-08 |
| 1568895829 | Cameron Diagnostic Center, Inc | Contractor | 7901 Cameron Rd.bldg.2 Suite 143, Austin, TX 78754 | 2013-08-09 |
| 1427495415 | Universal Diagnostic Services Inc | Specialist | 7901 Cameron Rd Bldg 2, Suite 144, Austin, TX 78754 | 2013-05-30 |
| 1598044414 | Sleiman Weight Loss Centers Pa | Family Medicine | 7901 Cameron Rd Bldg 3, Suite 105, Austin, TX 78754 | 2011-08-09 |
| 1922321462 | Nowling Home Healthcare Inc | Hospice Care, Community Based | 7901 Cameron, Building 3 Suite 135, Austin, TX 78754 | 2010-03-11 |
| 1760714240 | Shireen Connor | Social Worker | 1611 Headway Circle, Bldg. 2, Austin, TX 78754 | 2010-02-08 |
| Find all providers in zip 78754 | ||||
| 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 |
|---|---|---|---|---|
| 1396351573 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 1104 West 34th St., Bldg. A, Austin, TX 78705-1910 | 2020-09-22 |
| 1447861828 | Major Miracles Rx | Prosthetic/Orthotic Supplier | 1801 E 51st St Ste 362, Austin, TX 78723-3434 | 2020-08-11 |
| 1396302493 | Neu Limbs, LLC | Prosthetic/Orthotic Supplier | 111 W Anderson Ln Ste A102, Austin, TX 78752-1132 | 2019-05-23 |
| 1891261046 | Axis Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 8906 Wall St Ste 608, Austin, TX 78754-4545 | 2018-10-15 |
| 1558843607 | Opsolutions, LLC | Prosthetic/Orthotic Supplier | 706 W Ben White Blvd Ste 194, Austin, TX 78704-8124 | 2018-09-05 |
| 1023510369 | Blue Sky Orthotic and Prosthetics | Prosthetic/Orthotic Supplier | 1104 W 34th St Bldg A, Austin, TX 78705-1908 | 2018-03-02 |
| 1295262814 | Atlas Orthopedic Products LLC | Prosthetic/Orthotic Supplier | 13785 Research Blvd Ste 125, Austin, TX 78750 | 2017-05-12 |
| 1255887519 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 3111 Palm Way, Austin, TX 78758 | 2016-08-28 |
| 1053779231 | Capital Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 209 E Ben White Blvd Ste 204, Austin, TX 78704-7390 | 2016-02-03 |
| 1780059576 | The Postureperfector LLC | Prosthetic/Orthotic Supplier | 8302 Cornerwood Dr, Austin, TX 78717-5336 | 2015-12-06 |
| Find all providers in AUSTIN | ||||
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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.