GATES PROSTHETICS & MOBILITY CLINIC CO
NPI 1952154833
Prosthetic/Orthotic Supplier in Bentonville, AR

NPI Status: Active since April 09, 2024

Contact Information

706 S WALTON BLVD STE 6
BENTONVILLE, AR
ZIP 72712
Phone: (479) 418-2297

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

About GATES PROSTHETICS & MOBILITY CLINIC CO

This page provides the complete NPI Profile along with additional information for Gates Prosthetics & Mobility Clinic Co, a provider established in Bentonville, Arkansas operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1952154833 assigned on April 2024. 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 Terran Elizabeth Gates Cpo (Owner, President)

NPI
1952154833
Provider Name
GATES PROSTHETICS & MOBILITY CLINIC CO
Entity Type
Organization
Location Address
706 S WALTON BLVD STE 6 BENTONVILLE, AR 72712
Location Phone
(479) 418-2297
Mailing Address
706 S WALTON BLVD STE 6 BENTONVILLE, AR 72712
Mailing Phone
(479) 418-2297
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-09-2024
Last Update Date
05-14-2024
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Gates Prosthetics & Mobility Clinic Co is a medicare supplier with PTAN 34357160 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: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Breast Prostheses and/or Accessories or Somatic Prostheses or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.

Location Map

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

TERRAN ELIZABETH GATES CPO

Authorized Official Title
OWNER, PRESIDENT
Authorized Official Phone
(870) 307-2174

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
34357160
Accepts Medicare Assignment
NO
Provider Type List
CERTIFIED ORTH/PROS/PEDORTHIST.
Competitive Bidding
NO

Supplies List

  • 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
  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Somatic Prostheses - Finger prosthesis, Hand prosthesis, Toe prosthesis
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Lymphedema Compression Treatment Items -

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1952154833
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2910225886
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 2 + 5 + 8 + 8 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1952154833 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952154833, enumerated in the NPI registry as an "organization" on April 09, 2024

The provider is located at 706 S Walton Blvd Ste 6 Bentonville, Ar 72712 and the phone number is (479) 418-2297

This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X

This NPI record was last updated on April 09, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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