YAKIMA ORTHOTICS AND PROSTHETICS, PC (NPI# 1063728707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063728707 |
| Entity Type | Organization |
| Organization Name | YAKIMA ORTHOTICS AND PROSTHETICS, PC |
| Other Organization Name | KITTITAS ORTHOTICS AND PROSTHETICS |
| Practice Address |
1206 N Dolarway Rd Suite 110 Ellensburg WA 98926-8392 |
| Mailing Address |
313 S 9th Ave Yakima WA 98902-3516 |
| Practice Telephone | 5099257700 |
| Practice Fax Number | 5099257707 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2017-06-29 |
| Authorized Official Name | MR. ANDREW D LAMBERT (OWNER) |
| Authorized Official Telephone | 5092488040 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 602349936 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CHAMPUS TRICARE | W40472 | 01 |
| WA | REGENCE BLUE SHIELD | YA0282 | 01 |
| WA | LABOR AND INDUSTRIES | 120244 | 01 |
| WA | PREMERA BLUE CROSS | YA0282 | 01 |
| WA | 9045675 | 05 |
| Other Name | Type Code |
|---|---|
| Kittitas Orthotics and Prosthetics | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477539997 | Yakima Orthotics and Prosthetics, PC | Prosthetic/Orthotic Supplier | 313 S 9th Ave, Yakima, WA 98902-3516 | 2005-12-16 |
| Street Address |
1206 N DOLARWAY RD SUITE 110 |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926-8392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912187378 | Carla Johnson | Specialist | 1206 N Dolarway Rd, Suite # 211, Ellensburg, WA 98926-8392 | 2007-11-13 |
| 1184173577 | Jennifer D Ehlers | Dental Hygienist | 1206 N Dolarway Rd, Suite 101, Ellensburg, WA 98926-8392 | 2016-09-26 |
| 1881041432 | Emily Cooper | Dental Hygienist | 1206 N Dolarway Rd, Ellensburg, WA 98926-8392 | 2016-05-24 |
| 1689050122 | Brandy Mcbride | Counselor | 1206 N Dolarway Rd, 118, Ellensburg, WA 98926-8392 | 2015-08-06 |
| 1154739977 | Jaclyn Johnson | Dental Hygienist | 1206 N Dolarway Rd, Suite 101, Ellensburg, WA 98926-8392 | 2014-07-24 |
| 1760803282 | Sarah Eakin | Dental Hygienist | 1206 N Dolarway Rd, Suite 101, Ellensburg, WA 98926-8392 | 2013-12-31 |
| 1083044788 | Kaitlin Jackman | Dental Hygienist | 1206 N Dolarway Rd, Suite 101, Ellensburg, WA 98926-8392 | 2013-11-15 |
| 1821426545 | Patricia Peacock | Dental Hygienist | 1206 N Dolarway Rd, Suite 101, Ellensburg, WA 98926-8392 | 2013-10-15 |
| 1811339955 | Social Treatment Opportunity Programs II, Inc | Case Management | 1206 N Dolarway Rd, Ellensburg, WA 98926-8392 | 2013-07-17 |
| 1972859593 | Stillwater Counseling Services, LLC | Counselor | 1206 N Dolarway Rd, 203, Ellensburg, WA 98926-8392 | 2012-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
| 1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
| 1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
| 1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
| 1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
| 1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
| 1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
| 1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
| 1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
| 1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
| Find all providers in zip 98926 | ||||
| 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 |
|---|---|---|---|---|
| 1194372805 | Comotion Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2701 Sorenson Rd, Ellensburg, WA 98926-9622 | 2019-08-19 |
| 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 | ||||
| City | ELLENSBURG |
| Zip Code | 98926 |
Please comment or provide details below to improve the information on YAKIMA ORTHOTICS AND PROSTHETICS, PC.
| 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.