Personalized Prosthetics
Prosthetic/orthotic Supplier
628 S Presa St # 5, San Antonio
Texas, 78210-1054
210-802-8313 Personalized Prosthetics is a Prosthetic/orthotic Supplier in San Antonio, Texas. It is located at 628 S Presa St # 5, San Antonio and it's customer support contact number is 210-802-8313. The authorized person of Personalized Prosthetics is Colette Shrader, MS, CCA who is Owner of this DME and his contact number is 210-802-8313. Personalized Prosthetics accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Personalized Prosthetics is 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.
DME Supplier Details:
Personalized Prosthetics type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Personalized Prosthetics |
| Type: | Prosthetic/orthotic Supplier |
| Location: | 628 S Presa St # 5, San Antonio,
Texas, 78210-1054 |
| Phone: | 210-802-8313 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Colette Shrader |
| Credentials: | MS, CCA |
| Position: | Owner |
| Contact Number: | 210-802-8313 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1952847592 |
| NPI Enumeration Date: | 06 Jan, 2017 |
| NPI Last Update On: | 21 Jul, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Personalized Prosthetics are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 377522301 | Medicaid | Texas | |
Medicare Enrollment:
Personalized Prosthetics is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9931478245 | O20170629002072 | Personalized Prosthetics | DME SUPPLIER - PROSTHETIC PERSONNEL |
Products Available:
Personalized Prosthetics has following products available for sale under medicare.
| Products: |
|---|
| • Breast Prostheses & Accessories | • Facial Prostheses |
| • Ocular Prostheses | • Somatic Prostheses |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 628 S Presa St # 5,
San Antonio, Texas |
| Zip: | 78210-1054 |
| Phone Number: | 210-802-8313 |
Patients can reach Personalized Prosthetics at
628 S Presa St # 5, San Antonio, Texas or can
call on customer care at 210-802-8313.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.