LONE STAR PROSTHETICS, WICHITA FALLS, LLC
NPI 1619752789
Prosthetic/Orthotic Supplier in Wichita Falls, TX

NPI Status: Active since August 28, 2023

Contact Information

4020 RHEA RD STE 5D
WICHITA FALLS, TX
ZIP 76308
Phone: (940) 285-5100

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About LONE STAR PROSTHETICS, WICHITA FALLS, LLC

This page provides the complete NPI Profile along with additional information for Lone Star Prosthetics, Wichita Falls, Llc, a provider established in Wichita Falls, Texas operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1619752789 assigned on August 2023. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Bryan Pettit Lp (Licensed Prosthetist)

NPI
1619752789
Provider Name
LONE STAR PROSTHETICS, WICHITA FALLS, LLC
Entity Type
Organization
Location Address
4020 RHEA RD STE 5D WICHITA FALLS, TX 76308
Location Phone
(940) 285-5100
Mailing Address
PO BOX 200402 ARLINGTON, TX 76006
Mailing Phone
(940) 285-5100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2023
Last Update Date
07-27-2025
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Lone Star Prosthetics, Wichita Falls, Llc is a medicare supplier with PTAN 23280133 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Limb Prostheses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRYAN PETTIT LP

Authorized Official Title
LICENSED PROSTHETIST
Authorized Official Phone
(940) 285-5100

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
23280133
Accepts Medicare Assignment
NO
Specialities List
Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619752789, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 1 + 4 + 5 + 4 + 7 + 1 + 6 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1619752789.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619752789, enumerated as an "organization" on August 28, 2023.

The provider is located at 4020 RHEA RD STE 5D WICHITA FALLS, TX 76308 and the phone number is (940) 285-5100.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.