MOSAIC ORTHOTICS AND PROSTHETICS LLC


Address: 617 N 17th St # 102, Colorado Springs, CO 80904-3577
Phone: 7192715857

MOSAIC ORTHOTICS AND PROSTHETICS LLC (NPI# 1275140022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275140022
Entity Type Organization
Organization Name MOSAIC ORTHOTICS AND PROSTHETICS LLC
Practice Address 617 N 17th St # 102
Colorado Springs
CO 80904-3577
Mailing Address 6305 Montarbor Dr
Colorado Springs
CO 80918-4875
Practice Telephone 7192715857
Enumeration Date 2020-09-25
Last Update Date 2020-09-25
Authorized Official Name JONATHAN MOORE (CERTIFIED PROSTHETIST ORTHOTIST)
Authorized Official Telephone 7192317893
Authorized Official Credential CPO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Mosaic Orthotics and Prosthetics LLC 617 N. 17th Street, Suite 102, Colorado Springs, CO 80904

Office Location

Street Address 617 N 17TH ST # 102
City COLORADO SPRINGS
State CO
Zip Code 80904-3577

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1104242700 Optumcare Colorado Springs, LLC Non-Pharmacy Dispensing Site 600 S 21st Street, Ste 100, Colorado Springs, CO 80904 2014-03-07
1639595382 Jessyca Sonia Sterner Counselor 2514 Colorado Ave, Suite 200, Colorado Springs, CO 80904 2014-03-05
1508291956 Diane Chisesi Anesthesiology 2517 B. King Street, Colorado Springs, CO 80904 2013-09-04
1124363635 Piotr Bieniek Physical Therapy Assistant 1133 Adams Dr, Colorado Springs, CO 80904 2012-12-10
1235480526 Barry G. Zile Physical Therapy Assistant 1685 S. 21st Street, Colorado Springs, CO 80904 2012-09-26
1326397076 Christie Sheffer Midwife 2524 W. Colorado Avenue, Suite 209, Colorado Springs, CO 80904 2012-09-09
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447787239 Hummel Orthotics Prosthetic/Orthotic Supplier 925 E Fillmore St, Colorado Springs, CO 80907-6315 2017-05-11
1629526892 Catholic Health Initiatives Colorado Prosthetic/Orthotic Supplier 3030 N Circle Dr Ste 110, Colorado Springs, CO 80909-1178 2016-09-16
1740640531 Horizon Prosthetics, LLC Prosthetic/Orthotic Supplier 1710 Briargate Blvd Ste 840, Colorado Springs, CO 80920-3456 2016-03-07
1578990156 B & B Dme of Colorado Prosthetic/Orthotic Supplier 3360 Adobe Ct, Colorado Springs, CO 80907-5462 2013-09-27
1962578740 Invivo, Incorporated Prosthetic/Orthotic Supplier 2415 N Union Blvd, Colorado Springs, CO 80909-1107 2006-11-25
1871665547 Horizon Prosthetics, LLC Prosthetic/Orthotic Supplier 1110 Elkton Dr Ste E, Colorado Springs, CO 80907-3555 2006-11-15
1477576361 Abilities Unlimited, Inc. Prosthetic/Orthotic Supplier 245 S Parkside Dr, Colorado Springs, CO 80910-3131 2006-07-25
1154324168 Colorado Professional Medical, Inc Prosthetic/Orthotic Supplier 175 S Union Blvd, Ste 370, Colorado Springs, CO 80910-3113 2005-05-23
1427681964 Tolsma Stockwell Prosthetics Prosthetic/Orthotic Supplier 384 E Garden of The Gods Rd Ste 140, Colorado Springs, CO 80907-4243 2020-02-12
1346428992 John Callan Orthotic Services, Inc. Prosthetic/Orthotic Supplier 1729 N Weber St, Colorado Springs, CO 80907-7503 2008-02-06
Find all providers in COLORADO SPRINGS

Competitor

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City COLORADO SPRINGS
Zip Code 80904

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Dataset Information

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.

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