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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Mosaic Orthotics and Prosthetics LLC | 617 N. 17th Street, Suite 102, Colorado Springs, CO 80904 |
Street Address |
617 N 17TH ST # 102 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80904-3577 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669084133 | Tclllc | Behavioral Analyst | 2822 W Cucharras Street, Colorado Springs, CO 80904 | 2020-08-17 |
1770131971 | Jill Case Brown | Technician | 3002 W. Kiowa St., Colorado Springs, CO 80904 | 2019-08-30 |
1457888232 | Marcia W. Soule Dobson | Counselor | 3510 Temple Drive, Colorado Springs, CO 80904 | 2017-05-11 |
1184163610 | Home Healthcare Staffing Solutions Inc | Home Health | 3117 Chambers Way, Colorado Springs, CO 80904 | 2017-02-16 |
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 |
Find all providers in zip 80904 |
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 |
---|---|---|---|---|
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 |
City | COLORADO SPRINGS |
Zip Code | 80904 |
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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.