PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC (NPI# 1629532536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629532536 |
| Entity Type | Organization |
| Organization Name | PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC |
| Other Organization Name | EVERGREEN PROSTHETICS AND ORTHOTICS |
| Practice Address |
1708 Yakima Ave Ste 60 Tacoma WA 98405 |
| Mailing Address |
8880 Sw Nimbus Ave Ste A Beaverton OR 97008-7111 |
| Practice Telephone | 2535721282 |
| Practice Fax Number | 2535721175 |
| Mailing Telephone | 5094961359 |
| Mailing Fax Number | 9717273162 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-07-23 |
| Authorized Official Name | TIMOTHY L O'NEILL (OWNER) |
| Authorized Official Telephone | 5034075408 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Evergreen Prosthetics and Orthotics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689713265 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 922 S 348th St, Federal Way, WA 98003-7021 | 2007-02-06 |
| 1962541912 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1901 S Cedar St Ste 202, Tacoma, WA 98405-2303 | 2007-02-06 |
| 1124351580 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 3608 Grandview St, Gig Harbor, WA 98335 | 2009-09-16 |
| Street Address |
1708 YAKIMA AVE STE 60 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| 1720564925 | Acts Pharmacy and Healthcare Services, LLC | Pharmacy | 1901 S Union Ave Bldg B Ste 2011, Tacoma, WA 98405 | 2018-07-11 |
| Find all providers in zip 98405 | ||||
| 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 |
|---|---|---|---|---|
| 1962541912 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1901 S Cedar St Ste 202, Tacoma, WA 98405-2303 | 2007-02-06 |
| 1669579587 | Judys Intimate Apparel Inc | Prosthetic/Orthotic Supplier | 4538 S Pine St, Tacoma, WA 98409-6527 | 2006-09-20 |
| 1790710341 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 4502 S Steele St Ste 800, Tacoma, WA 98409-7224 | 2006-07-12 |
| 1023347960 | Union Avenue Compounding Pharmacy | Prosthetic/Orthotic Supplier | 2302 S Union Ave, Tacoma, WA 98405-1300 | 2009-12-23 |
| 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 |
| 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 |
| 1033424239 | Kirk, Sherris | Prosthetic/Orthotic Supplier | 6470 Ne Marshall Rd, Bainbridge Island, WA 98110-1617 | 2010-08-11 |
| 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.