NPI age
19 years
Enumerated 2006-10-27
● Active Type 2 · Organization
Custom Orthotics & Prosthetics, Lp
Custom Orthotics & Prosthetics, Lp is 1 of 186 orthotist organizations in Texas.
Primary specialty
Orthotist
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Calderon
Practice Manager
Last NPPES update
2024-06-12
Source: monthly bulk 2026-05
How this organization compares
Across 186 active orthotist providers in Texas.
NPI age
19 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 39% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3901 Montana Ave Ste C
El Paso, TX 799034507
Mailing address
3901 Montana Ave Ste C
El Paso, TX 799034507
Authorized official
Anette Calderon
Practice Manager
📞 9155663440
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Fabian Calderon, CPO, LPO Orthotist NPI 1396794459
- Walter Cheney, CPO LPO Orthotist NPI 1538376108
Specialties
-
Orthotist PrimaryA health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower...
-
Prosthetic/Orthotic SupplierAn 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...
-
ProsthetistA 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 178724405 | |
| 05 (TX) | 178724401 | |
| 05 (TX) | 178724404 | |
| 05 (TX) | 178724406 | |
| 01 (TX) | 101202 | TX O&P FACILITY STATE LIC |
| 05 (TX) | 178724407 |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.