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PONGRATZ ORTHOTICS & PROSTHETICS INC. NPI 1669459749


NPI Information

NPI: 1669459749
Provider Name: PONGRATZ ORTHOTICS & PROSTHETICS, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
595 N DOBSON RD
SUITE B32
CHANDLER, AZ
ZIP 85224
Phone: (480) 282-4499
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PONGRATZ ORTHOTICS & PROSTHETICS, INC. is a prosthetic orthotic supplier in Chandler, AZ. The provider is 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. PONGRATZ ORTHOTICS & PROSTHETICS, INC. NPI is 1669459749. The provider is registered as an organization entity type.

The provider's business location address is:

595 N DOBSON RD
SUITE B32
CHANDLER, AZ
ZIP 85224-226
Phone: (480) 282-4499
Fax: (480) 615-1117

The provider's authorized official is Nichole Ann Inman .
The authorized official title is Practice Manager and has the following contact phone number (602) 222-3032.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 8/6/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesARIZONANo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentARIZONANo
3335E00000XProsthetic/Orthotic SupplierARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1376435MEDICAIDARIZONA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.