CUSTOM ORTHOTICS & PROSTHETICS LP NPI 1255417929

NPI Information

  • NPI: 1255417929
  • Provider Name: CUSTOM ORTHOTICS & PROSTHETICS, LP
  • Classification: Orthotist - 222Z00000X
  • Entity Type: Organization
  • Address: 3901 MONTANA AVE STE C
    EL PASO, TX
    ZIP 79903
  • Phone: (915) 566-3440

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NPI Details

CUSTOM ORTHOTICS & PROSTHETICS, LP is an orthotist in El Paso, TX. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. CUSTOM ORTHOTICS & PROSTHETICS, LP NPI is 1255417929. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3901 MONTANA AVE STE C
EL PASO, TX
ZIP 79903-507
Phone: (915) 566-3440
Fax: (915) 566-1485

The provider's authorized official is Anette Calderon .
The authorized official title is Practice Manager and has the following contact phone number (915) 566-3440.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 6/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1222Z00000XOrthotistYes
2224P00000XProsthetistNo
3335E00000XProsthetic/Orthotic Supplier101202TEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1178724405MEDICAIDTEXAS
2178724401MEDICAIDTEXAS
3178724404MEDICAIDTEXAS
4178724406MEDICAIDTEXAS
5101202OTHERTEXASTX O&P FACILITY STATE LIC
6178724407MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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