CERTIFIED PROSTHETICS & ORTHOTICS, LLC (NPI# 1326599812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326599812 |
| Entity Type | Organization |
| Organization Name | CERTIFIED PROSTHETICS & ORTHOTICS, LLC |
| Practice Address |
1620 25th Ave Suite A Greeley CO 80634-4960 |
| Mailing Address |
8101 E Lowry Blvd Suite 240 Denver CO 80230-7196 |
| Practice Telephone | 9703562123 |
| Practice Fax Number | 9703524943 |
| Mailing Telephone | 3035653485 |
| Mailing Fax Number | 3035325140 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | MR. CASEY JOSEPH BRADSHAW (OWNER) |
| Authorized Official Telephone | 3035653485 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 042520280000 | CO | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235571811 | Certified Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 2621 5th Ave, Scottsbluff, NE 69361-1745 | 2013-07-23 |
| Street Address |
1620 25TH AVE SUITE A |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-4960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326186065 | Cyndi R Desormeaux | Physician Assistant | 1620 25th Ave, Greeley, CO 80634-4960 | 2007-02-02 |
| 1306041306 | Certified Prosthetics Orthotics, LLC | Prosthetic/Orthotic Supplier | 1620 25th Ave, Suite A, Greeley, CO 80634-4956 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| 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 |
|---|---|---|---|---|
| 1306041306 | Certified Prosthetics Orthotics, LLC | Prosthetic/Orthotic Supplier | 1620 25th Ave, Suite A, Greeley, CO 80634-4956 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140022 | Mosaic Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 617 N 17th St # 102, Colorado Springs, CO 80904-3577 | 2020-09-25 |
| 1811457088 | Evening Elegance LLC | Prosthetic/Orthotic Supplier | 14500 W Colfax Ave Unit 246, Lakewood, CO 80401 | 2019-03-22 |
| 1942766290 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 7800 E Orchard Rd Ste 120, Greenwood Village, CO 80111-2567 | 2019-02-12 |
| 1043783145 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 9351 Grant St Ste 650, Thornton, CO 80229-4358 | 2019-01-10 |
| 1053809467 | Hawaiian Jellys, LLC. | Prosthetic/Orthotic Supplier | 5477 Tiger Bend Ln, Morrison, CO 80465-9679 | 2018-05-01 |
| 1861997322 | Central Colorado Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 28350 County Road 317 Unit 8, Buena Vista, CO 81211-9261 | 2018-03-27 |
| 1467979856 | Horizon Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6810 Broadway, Denver, CO 80221-2860 | 2017-08-25 |
| 1447787239 | Hummel Orthotics | Prosthetic/Orthotic Supplier | 925 E Fillmore St, Colorado Springs, CO 80907-6315 | 2017-05-11 |
| 1912447053 | Style Shop | Prosthetic/Orthotic Supplier | 555 Twining Flats Rd, Aspen, CO 81611-3119 | 2017-03-07 |
| 1053859009 | Prosthetic & Orthotic Group - Southern Colorado, LLC | Prosthetic/Orthotic Supplier | 415 N Greenwood St Ste E, Pueblo, CO 81003-3173 | 2017-02-09 |
| 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.