Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Functional Orthotics & Prosthetics

Organization Prosthetic/Orthotic Supplier · NPI 1548679897

Functional Orthotics & Prosthetics provides Prosthetic/Orthotic Supplier services in Albuquerque, New Mexico. Licensed in Maryland. Registered with an NPI since 2014.

Licensed in
MD
In the registry since
2014
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Practice location Address checks out

5111 Juan Tabo Blvd NE Ste A
Albuquerque, NM 87111-2672 Not confirmed with CMS for 12 years — call before visiting
Phone: (505) 200-9004
Fax: (505) 271-0217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence C49914 (MD)

Record details

NPI number1548679897
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Wrege — President/Owner · (505) 200-9004
NPI enumeratedAugust 11, 2014
Last updated in NPPESAugust 11, 2014
Mailing address5111 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87111-2672

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