COLORADO ORTHOTIC AND PROSTHETIC SERVICES, LLC (NPI# 1861492621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861492621 |
| Entity Type | Organization |
| Organization Name | COLORADO ORTHOTIC AND PROSTHETIC SERVICES, LLC |
| Other Organization Name | EVERGREEN PROSTHETICS AND ORTHOTICS |
| Practice Address |
1411 S Potomac St Suite 440 Aurora CO 80012-4540 |
| Mailing Address |
8880 Sw Nimbus Ave Suite A Beaverton OR 97008-7111 |
| Practice Telephone | 7205005250 |
| Practice Fax Number | 7205003834 |
| Mailing Telephone | 5037655081 |
| Mailing Fax Number | 5037855081 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | MR. TIMOTHY L O'NEILL (PRESIDENT) |
| Authorized Official Telephone | 5034075408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | CO | Suppliers | |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 67632751 | 05 |
| Other Name | Type Code |
|---|---|
| Evergreen Prosthetics & Orthotics | Doing Business As Name - Organization |
| Evergreen Prosthetics and Orthotics | Doing Business As Name - Organization |
| Street Address |
1411 S POTOMAC ST SUITE 440 |
| City | AURORA |
| State | CO |
| Zip Code | 80012-4540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619439189 | Gabriela Kaldan | Student in an Organized Health Care Education/Training Program | 1411 S Potomac St, Aurora, CO 80012-4536 | 2019-04-03 |
| 1437681152 | Yelena Coffield | Family Medicine | 1411 S Potomac St, Suite 300, Aurora, CO 80012-4536 | 2017-03-31 |
| 1114396231 | Marlena Hill | Nurse Practitioner | 1411 S Potomac St, Suite 200, Aurora, CO 80012-4536 | 2015-09-18 |
| 1134505969 | Benjamin Gaylord | Physical Therapist | 1411 S Potomac St, #400, Aurora, CO 80012-4536 | 2015-08-04 |
| 1417340324 | Rachel Sauvageau | Physician Assistant | 1411 S Potomac St, Ste 400, Aurora, CO 80012-4540 | 2015-03-17 |
| 1093140063 | Karolina Patrycja Rowinski | Physical Therapist | 1411 S Potomac St, Suite 350, Aurora, CO 80012-4536 | 2013-09-10 |
| 1174825756 | Andrew Max Glaves | Physical Therapist | 1411 S Potomac St, Suite 350, Aurora, CO 80012-4536 | 2010-12-02 |
| 1033411624 | Ashley Elizabeth Carter | Physical Therapist | 1411 S Potomac St, Suite 350, Aurora, CO 80012-4536 | 2010-12-02 |
| 1386946978 | Alyson Furr | Physical Therapist | 1411 S Potomac St, Suite 350, Aurora, CO 80012-4536 | 2010-12-02 |
| 1134447121 | Stephen Frederick Pehler | Orthopaedic Surgery | 1411 S Potomac St, Suite 400, Aurora, CO 80012-4536 | 2010-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
| 1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
| 1306362108 | Melynda Barrios | Massage Therapist | 11912 E Nevada Cir, Aurora, CO 80012 | 2017-08-14 |
| 1851815633 | Gabriela Alejandra Perez-saenz | Audiologist | 1550 S. Potomac St. #305, Aurora, CO 80012 | 2017-08-02 |
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1275069734 | Sandra Pacheco | Case Manager/Care Coordinator | 10782 E Alameda Avenue, Aurora, CO 80012 | 2017-05-03 |
| 1578002010 | Green Taxi Corporation | Taxi | 10 S Havana St #103, Aurora, CO 80012 | 2017-02-16 |
| 1104372713 | Moss LLC | Non-emergency Medical Transport (VAN) | 950 S Cimmaron Way Unit K-201, Aurora, CO 80012 | 2016-09-01 |
| 1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
| 1598117731 | Act of Kindness LLC | Respite Care | 1010 S Joliet Street Suite #101, Aurora, CO 80012 | 2016-07-12 |
| Find all providers in zip 80012 | ||||
| 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 |
|---|---|---|---|---|
| 1982619367 | Orthocare America Inc. | Prosthetic/Orthotic Supplier | 199 S Chillicothe Rd, Suite# 210, Aurora, OH 44202-8830 | 2006-07-31 |
| 1043699309 | Dupage Medical Group, Ltd | Prosthetic/Orthotic Supplier | 651 S Route 59, Aurora, IL 60504-8169 | 2015-05-20 |
| 1487046298 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 14241 E 4th Ave, Bldg 5, Suite 110, Aurora, CO 80011-8733 | 2015-03-03 |
| 1588062764 | Prosthetic & Orthotic Group Pediatric Specialists - Colorado LLC | Prosthetic/Orthotic Supplier | 13123 E 16th Ave, Mail Box B060, Aurora, CO 80045-7106 | 2014-12-19 |
| 1912135369 | Dreyer Medical Group Ltd | Prosthetic/Orthotic Supplier | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2009-06-24 |
| 1790970762 | Foottenders LLC | Prosthetic/Orthotic Supplier | 15200 E Girard Ave, Suite 4350, Aurora, CO 80014-3988 | 2007-09-12 |
| 1639232390 | Kingsway Ent. Inc | Prosthetic/Orthotic Supplier | 1677 Montgomery Rd, Suite 110-112, Aurora, IL 60504-8802 | 2006-12-17 |
| 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 |
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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.