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GOAL PEDIATRIC ORTHOTICS
NPI 1861948242
Prosthetist in Mesa, AZ

Active since August 26, 2016
4115 E VALLEY AUTO DR STE 202, MESA, AZ 85206(800) 311-5899(866) 710-3106 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2024, Apr 3, 2024, May 4, 2023 and 3 more (6 updates tracked since 2016).

About Goal Pediatric Orthotics NPPES

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

GOAL PEDIATRIC ORTHOTICS (NPI 1861948242) is a healthcare organization registered as a prosthetist in Mesa, Arizona and active in the NPI registry since August 2016. The organization lists Alicia Hermosillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1861948242
Entity TypeOrganization
Primary Taxonomy224P00000X
Legal Business NameNEXTREMITY PROSTHETIC DESIGN, LLC
Location Address4115 E VALLEY AUTO DR STE 202Mesa, AZ 85206-4612
Mailing Address471 E 1000 S Ste FPleasant Grove, UT 84062-3694 · (855) 407-1227 · Fax (855) 228-4222
Phone(800) 311-5899
Fax(866) 710-3106
Organization SubpartNo
Authorized OfficialAlicia HermosilloOwner · (801) 830-6161
Enumeration DateAugust 26, 2016
Last NPPES UpdateJune 11, 20246 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1861948242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
4115 E VALLEY AUTO DR STE 202, Mesa, AZ 85206
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Other Names 1

Doing Business AsGoal Pediatric Orthotics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Goal Pediatric Orthotics carries, from the Medicare DMEPOS supplier directory.

Goal Pediatric Orthotics

DMEPOS supplier · Mesa, AZOperated by Nextremity Prosthetic Design LLC
✔

Accepts Medicare assignment

Goal Pediatric Orthotics agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20461961
Medicare Participant SinceApril 6, 2017
Supplier Location4115 E Valley Auto Dr Ste 202Mesa, AZ 85206
Phone(800) 311-5899
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Contracture Treatment Devices: Dynamic Splint
Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Nextremity Prosthetic Design, LLC's NPI number?

The NPI number for Nextremity Prosthetic Design, LLC is 1861948242. It was assigned to this organization in the NPPES registry on August 26, 2016. The provider is doing business as Goal Pediatric Orthotics.

Where is Nextremity Prosthetic Design, LLC located?

Nextremity Prosthetic Design, LLC is located at 4115 E Valley Auto Dr Ste 202, Mesa, AZ 85206. The listed phone number is (800) 311-5899.

What is Nextremity Prosthetic Design, LLC's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Does Nextremity Prosthetic Design, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Goal Pediatric Orthotics accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Nextremity Prosthetic Design, LLC accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Nextremity Prosthetic Design, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nextremity Prosthetic Design, LLC was last updated on June 11, 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.