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PERSONALIZED PROSTHETICS
NPI 1952847592
Prosthetic/Orthotic Supplier in San Antonio, TX

Active since January 06, 2017
628 S PRESA ST # 5, SAN ANTONIO, TX 78210(210) 802-8313 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2020, Jun 26, 2017, Jan 6, 2017 (3 updates tracked since 2017).

About Personalized Prosthetics NPPES

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

PERSONALIZED PROSTHETICS (NPI 1952847592) is a healthcare organization registered as a prosthetic/orthotic supplier in San Antonio, Texas and active in the NPI registry since January 2017. The organization lists Colette Shrader, Owner, as its authorized official.

NPPES Registry Identity

NPI1952847592
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePERSONALIZED PROSTHETICS
Location Address628 S PRESA ST # 5San Antonio, TX 78210-1054
Mailing Address628 S Presa St # 5San Antonio, TX 78210-1054 · (210) 802-8313
Phone(210) 802-8313
Organization SubpartNo
Authorized OfficialColette ShraderOwner · (210) 802-8313
Enumeration DateJanuary 6, 2017
Last NPPES UpdateJuly 21, 20203 updates tracked since enumeration
NPPES CertifiedJuly 21, 2020
✔ NPI 1952847592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
628 S PRESA ST # 5, San Antonio, TX 78210
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Other Identifiers 1

Medicaid377522301TX

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Personalized Prosthetics carries, from the Medicare DMEPOS supplier directory.

Personalized Prosthetics

DMEPOS supplier · San Antonio, TX
⋮

Does not accept Medicare assignment

Personalized Prosthetics 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)20462387
Medicare Participant SinceFebruary 27, 2017
Supplier Location2101 Lockhill Selma Rd Ste 208San Antonio, TX 78213
Phone(210) 802-8313
Supplier Specialties
Prosthetic Personnel

Medicare Product Categories

Facial Prostheses
Nasal prosthesis, Ocular Prosthesis, Upper-facial prosthesis
Ocular Prostheses
Prosthetic eyes
Somatic Prostheses
Finger prosthesis, Hand prosthesis, Toe prosthesis
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

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

COLETTE JEANANN SHRADER MS
Anaplastologist
628 S PRESA ST # 5
SAN ANTONIO, TX 78210
Bexar County (210) 802-8313

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 Personalized Prosthetics's NPI number?

The NPI number for Personalized Prosthetics is 1952847592. It was assigned to this organization in the NPPES registry on January 6, 2017.

Where is Personalized Prosthetics located?

Personalized Prosthetics is located at 628 S Presa St # 5, San Antonio, TX 78210. The listed phone number is (210) 802-8313.

What is Personalized Prosthetics's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Personalized Prosthetics accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Personalized Prosthetics 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 Personalized Prosthetics was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.