SOUTHEAST ALASKA PROSTHETICS AND ORTHOTICS LLC (NPI# 1376711549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376711549 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST ALASKA PROSTHETICS AND ORTHOTICS LLC |
| Practice Address |
5193 Borch St Ketchikan AK 99901-9036 |
| Mailing Address |
Po Box 7561 Ketchikan AK 99901-2561 |
| Practice Telephone | 9072541276 |
| Practice Fax Number | 9072477868 |
| Mailing Telephone | 9072541276 |
| Mailing Fax Number | 9072477868 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2012-03-15 |
| Authorized Official Name | ELIZABETH EINSET (OWNER) |
| Authorized Official Telephone | 9072541276 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | AK | Suppliers |
| Street Address |
5193 BORCH ST |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-9036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508174541 | Kinetic Physical Therapy LLC | Clinic/Center | 5193 Borch St, Ketchikan, AK 99901-9036 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| 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 |
|---|---|---|---|---|
| 1942551429 | Munger Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 3455 Rewak Dr Ste 101, Fairbanks, AK 99709-5024 | 2012-09-25 |
| 1295930600 | Farthest North Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 3520 Industrial Ave, Fairbanks, AK 99701-7376 | 2007-06-15 |
| 1235144619 | Munger Prosthetics and Orthotics, Inc | Prosthetic/Orthotic Supplier | 5701 Lake Otis Pkwy Ste 400, Anchorage, AK 99507-1778 | 2006-07-31 |
| 1487652335 | Alaska Orthopedics, Inc. | Prosthetic/Orthotic Supplier | 2028 E Northern Lights Blvd, Anchorage, AK 99508-4101 | 2005-07-13 |
| 1134461957 | Northern Orthopedics Inc | Prosthetic/Orthotic Supplier | 44604 Sterling Hwy, Unit A, Soldotna, AK 99669-7937 | 2013-03-19 |
| 1821346065 | Munger Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1700 E Bogard Rd, #104 Building B, Wasilla, AK 99654-6563 | 2012-08-20 |
| 1689920142 | Alchemy Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 1405 Kellum St, Suite 201, Fairbanks, AK 99701-4189 | 2012-08-01 |
| 1841464997 | Dr's Order,inc. | Prosthetic/Orthotic Supplier | 515 W Fireweed Ln, Anchorage, AK 99503-1927 | 2008-04-19 |
| 1497932354 | Advanced Biomechanics Inc | Prosthetic/Orthotic Supplier | 215 N Fireweed St, Soldotna, AK 99669-7540 | 2008-01-23 |
| 1346422466 | Alchemy Orthotics & Prosthetics, LLC | Prosthetic/Orthotic Supplier | 12201 Industry Way, Suite D1, Anchorage, AK 99515-4316 | 2007-11-30 |
| 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.