SEATTLE ORTHOTICS AND PROSTHETICS, LLC (NPI# 1043765878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043765878 |
| Entity Type | Organization |
| Organization Name | SEATTLE ORTHOTICS AND PROSTHETICS, LLC |
| Other Organization Name | VALLEY PROSTHETICS AND ORTHOTICS, LLC |
| Practice Address |
120 14th Ave Se Suite D Puyallup WA 98372-3718 |
| Mailing Address |
6405 218th St Sw Suite 304 Mountlake Terrace WA 98043-2180 |
| Practice Telephone | 2538480128 |
| Practice Fax Number | 2062999445 |
| Mailing Telephone | 4256402004 |
| Mailing Fax Number | 2062999445 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-09-15 |
| Authorized Official Name | DAVID ELLIS HENSLEY (OWNER) |
| Authorized Official Telephone | 4256402004 |
| Authorized Official Credential | LCPO |
| Is Organization Subpart | Y |
| Parent Organization Name | SEATTLE ORTHOTICS AND PROSTHETICS,LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | PS00000071 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NPI | 1669896973 | 01 |
| Other Name | Type Code |
|---|---|
| Valley Prosthetics and Orthotics, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619305190 | Seattle Orthotics and Prosthetics, LLC | Clinic/Center | 6405 218th St Sw, Suite 304, Mountlake Terrace, WA 98043-2180 | 2013-10-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SEATTLE ORTHOTICS AND PROSTHETICS, LLC | 6405 218th St Sw, Mountlake Ter, WA 98043-2180 |
| Street Address |
120 14TH AVE SE SUITE D |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619934429 | Pamela D Cowell | Obstetrics & Gynecology | 120 14th Ave Se, Suite C, Puyallup, WA 98372-3718 | 2006-04-26 |
| 1316566623 | Alina A. Melnyk | Physician Assistant | 120 14th Ave Se, Puyallup, WA 98372-3718 | 2020-04-16 |
| 1225439995 | Kathryn Weakland | Massage Therapist | 120 14th Ave Se, 1, Puyallup, WA 98372-3718 | 2014-09-11 |
| 1417209040 | David Ellis Hensley | Orthotist | 120 14th Ave Se, Suite D, Puyallup, WA 98372-3718 | 2012-10-05 |
| 1295030971 | Family Foot Clinic Inc | Clinic/Center | 120 14th Ave Se, Suite B, Puyallup, WA 98372-3718 | 2011-01-11 |
| 1881754059 | Sonus-usa, Inc. | Audiologist-Hearing Aid Fitter | 120 14th Ave Se, Suite D, Puyallup, WA 98372-3718 | 2006-12-11 |
| 1578671830 | Mazen Dahan | Pediatrics | 120 14th Ave Se, Suite A, Puyallup, WA 98372 | 2006-08-28 |
| 1235170515 | Bruce Micheal Worthen | Podiatrist | 120 14th Ave Se, Suite B, Puyallup, WA 98372-3718 | 2006-06-09 |
| 1346296571 | Cheryl A Conway | Hearing Instrument Specialist | 120 14th Ave Se, Suite D, Puyallup, WA 98372-3718 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033360409 | Davidson Prosthetics LLC | Prosthetic/Orthotic Supplier | 11919 Canyon Rd E, Puyallup, WA 98373-4456 | 2008-10-03 |
| 1528240041 | Michael Philip Podrasky | Prosthetic/Orthotic Supplier | 1004 E Main, Ste C, Puyallup, WA 98372-3125 | 2007-11-27 |
| 1912522053 | Durable Medical Equipment LLC | Prosthetic/Orthotic Supplier | 9909 168th St E Ste 102, Puyallup, WA 98375-2513 | 2020-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699317784 | Preferred Orthotic and Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 520 S Cowley St Ste 104, Spokane, WA 99202-1315 | 2019-10-10 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1063906295 | Wmc Inc | Prosthetic/Orthotic Supplier | 2600 3rd Ave Ste B, Seattle, WA 98121-1293 | 2018-06-20 |
| 1174934707 | Nw Magnum LLC | Prosthetic/Orthotic Supplier | 108 Central Way, Kirkland, WA 98033-6106 | 2014-05-16 |
| 1205100013 | Cadence Biomedical, Inc. | Prosthetic/Orthotic Supplier | 146 N Canal St Ste 100, Seattle, WA 98103-8652 | 2012-02-27 |
| 1174807853 | Dental Sleep Therapy of Walla Walla Pllc | Prosthetic/Orthotic Supplier | 213 S 2nd Ave, Walla Walla, WA 99362-3002 | 2011-09-29 |
| 1922396159 | Hair Options | Prosthetic/Orthotic Supplier | 7106 Greenwood Ave N, Seattle, WA 98103-5038 | 2011-07-21 |
| 1083902746 | Seattle Cancer Care Alliance | Prosthetic/Orthotic Supplier | 207 Pontius Ave N, Suite 101, Seattle, WA 98109-5650 | 2011-07-15 |
| 1457645426 | Rcm Enterprise, LLC | Prosthetic/Orthotic Supplier | 8526 Delphi Rd Sw, Olympia, WA 98512-9349 | 2011-06-07 |
| 1417255019 | Beauty N Kurves LLC | Prosthetic/Orthotic Supplier | 513 1st Ave W, Seattle, WA 98119-3925 | 2011-03-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.