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Deactivated NPI 1194048074 Deactivated / Inactive NPI Male Practitioner

Greg Frank Cdebaca , LPO

Orthotist • Baytown, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Greg Cdebaca has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 08, 2010
NPI Deactivation Date August 15, 2022
Total Practice Duration ~12 Years of Practice (2010 – 2022)

Professional Overview & Biography Verified Profile Summary

Greg Cdebaca, LPO was a registered Orthotist practicing in Baytown, TX. Throughout an active medical career spanning 12 years, Greg Cdebaca provided care at the practice location at 1666 W BAKER RD STE B until profile deactivation on 2022-08-15.

Practice Location & Contact Primary Location

Practice Address

1666 W Baker Rd Ste B

Baytown, TX 775212281

Telephone 2814278637
Fax 2814278639
Associated Practice Facility / Clinic
🏢 New Life Brace And Limb, Llc Facility NPI 1770718827

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthotist in Baytown, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Baytown, TX (194 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthotist Primary Specialty

NUCC Taxonomy Code: 222Z00000X

State License TX 45

A 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 extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 15, 2022

Record deactivated on August 15, 2022

NPI Profile Active March 08, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 08, 2010

Registered at 1666 W BAKER RD STE B, BAYTOWN, TX 775212281 (Tel: 2814278637)

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Updated Business Mailing Address March 08, 2010

Registered at 1666 W BAKER RD STE B, BAYTOWN, TX 775212281 (Tel: 2814278637)

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Provider Name / Credentials Updated March 08, 2010

Recorded as GREG CDEBACA, LPO

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2010

Orthotist (License #45 in TX)

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Initial NPI Registration & Enumeration March 08, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194048074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2010
Last Update: March 08, 2010
Deactivation Date: August 15, 2022

Mailing Address

1666 W Baker Rd Ste B

Baytown, TX 775212281

Phone: 2814278637

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.