HITTENBERGER ORTHOTICS AND PROSTHETICS, LLC – NPI #1487895975
Prosthetic/Orthotic Supplier

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.

HITTENBERGER ORTHOTICS AND PROSTHETICS, LLC is a DME Supplier located in PETALUMA, CA. NPPES has assigned the NPI number 1487895975 to HITTENBERGER ORTHOTICS AND PROSTHETICS, LLC on March 13, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HITTENBERGER ORTHOTICS AND PROSTHETICS, LLC” is a dba name, the actual legal business name for this organization is DREW HITTENBERGER. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was previously updated about 10 years ago on Aug 11, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HITTENBERGER ORTHOTICS AND PROSTHETICS, LLC below.

NPI Profile for
DREW HITTENBERGER

NPI Number
1487895975
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DREW HITTENBERGER
Doing Business As (dba): HITTENBERGER ORTHOTICS AND PROSTHETICS, LLC
Primary location
181 LYNCH CREEK
SUITE 101
PETALUMA, CA 94954
Phone: (707) 765-1122 Fax: (707) 765-4571
Mailing address
1111 SONOMA AVE
SUITE 320
SANTA ROSA, CA 95405-4819
Phone: (707) 765-1122 Fax: (707) 765-4571
Organization Subpart
No
Authorized Official
DREW HITTENBERGER
OWNER
Phone: (707) 765-1122
Updated
Identifiers

Identifiers for HITTENBERGER ORTHOTICS AND PROSTHETICS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE SUPPLIER NUMBERCA4129830001
OTHERPTAN KENTFIELDCA4129830007
OTHERPTAN PETALUMACA4129830001
OTHERPTAN SANTA ROSACA4129830006
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)
DE CP 1093

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.