1. Home
  2. Directory
  3. Texas
  4. El Paso
  5. Orthotist
  6. NPI Profile

CUSTOM ORTHOTICS & PROSTHETICS, LP
NPI 1255417929
Orthotist in El Paso, TX

Active since October 27, 2006
3901 MONTANA AVE STE C, EL PASO, TX 79903(915) 566-3440(915) 566-1485 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Custom Orthotics & Prosthetics, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUSTOM ORTHOTICS & PROSTHETICS, LP (NPI 1255417929) is a healthcare organization registered as an orthotist in El Paso, Texas and active in the NPI registry since October 2006. The organization lists Anette Calderon, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1255417929
Entity TypeOrganization
Primary Taxonomy222Z00000X
Legal Business NameCUSTOM ORTHOTICS & PROSTHETICS, LP
Location Address3901 MONTANA AVE STE CEl Paso, TX 79903-4507
Mailing Address3901 Montana Ave Ste CEl Paso, TX 79903-4507 · (915) 566-3440 · Fax (915) 566-1485
Phone(915) 566-3440
Fax(915) 566-1485
Organization SubpartNo
Authorized OfficialAnette CalderonPractice Manager · (915) 566-3440
Enumeration DateOctober 27, 2006
Last NPPES UpdateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1255417929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
Definition
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.
Also ListedProsthetistTaxonomy 224P00000X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License 101202 (TX)
3901 MONTANA AVE STE C, El Paso, TX 79903
Open in Google Maps ↗

Other Identifiers 6

Medicaid178724405TX
Medicaid178724401TX
Medicaid178724404TX
Medicaid178724406TX
Other101202TX · Tx O&p Facility State Lic
Medicaid178724407TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Custom Orthotics & Prosthetics, LP carries, from the Medicare DMEPOS supplier directory.

Custom Orthotics & Prosthetics, LP

DMEPOS supplier · El Paso, TX
⋮

Does not accept Medicare assignment

Custom Orthotics & Prosthetics, LP has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20574263
Medicare Participant SinceMarch 9, 2006
Supplier Location3901 Montana Ave Ste CEl Paso, TX 79903
Phone(915) 566-3440
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Lymphedema Compression Treatment Items
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. FABIAN T CALDERON CPO, LPO
Orthotist
3901 MONTANA AVE STE C
EL PASO, TX 79903
El Paso County (915) 566-3440
WALTER MAURIECE CHENEY CPO LPO
Orthotist
3901 MONTANA AVE STE C
EL PASO, TX 79903
El Paso County (915) 566-3440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Custom Orthotics & Prosthetics, LP's NPI number?

The NPI number for Custom Orthotics & Prosthetics, LP is 1255417929. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Custom Orthotics & Prosthetics, LP located?

Custom Orthotics & Prosthetics, LP is located at 3901 Montana Ave Ste C, El Paso, TX 79903. The listed phone number is (915) 566-3440.

What is Custom Orthotics & Prosthetics, LP's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

Does Custom Orthotics & Prosthetics, LP accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Custom Orthotics & Prosthetics, LP does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Custom Orthotics & Prosthetics, LP was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.