OrganizationActive
Functional Orthotics & Prosthetics
NPI 1548679897 · Prosthetic/Orthotic Supplier · Albuquerque, NM
Provider details
- NPI number
- 1548679897
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Steven Wrege, President/Owner(505) 200-9004
- License
- C49914 (MD)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5111 Juan Tabo Blvd Ne Ste a
Albuquerque, NM 87111-2672
Phone: (505) 200-9004
Fax: (505) 271-0217
Street-level locationGet directions
Mailing address
5111 Juan Tabo Blvd Ne Ste a
Albuquerque, NM 87111-2672
Registry dates
- Enumerated
- 2014-08-11
- Last updated
- 2014-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.