ADVANCED PROSTHETICS AND ORTHOTICS LLC


Address: 3906 E Flamingo Ave, Nampa, ID 83687-3102
Phone: 2084664360

ADVANCED PROSTHETICS AND ORTHOTICS LLC (NPI# 1346717899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346717899
Entity Type Organization
Organization Name ADVANCED PROSTHETICS AND ORTHOTICS LLC
Other Organization Name KORMYLO ORTHOPEDIC
Practice Address 3906 E Flamingo Ave
Nampa
ID 83687-3102
Mailing Address 175 N Benjamin Ln
Boise
ID 83704-8328
Practice Telephone 2084664360
Mailing Telephone 2083774024
Enumeration Date 2018-11-01
Last Update Date 2019-05-20
Authorized Official Name MRS. STEPHANIE WALKER MCDONALD (OWNER)
Authorized Official Telephone 2089855190
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider/Organization Names

Other Name Type Code
Kormylo Orthopedic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1477763332 Advanced Prosthetics and Orthotics LLC Prosthetic/Orthotic Supplier 6515 Poplar Ave, Ste #112, Memphis, TN 38119-4878 2007-05-22
1518448638 Advanced Prosthetics and Orthotics LLC Prosthetist 175 N Benjamin Ln, Boise, ID 83704-8328 2018-08-27

Office Location

Street Address 3906 E FLAMINGO AVE
City NAMPA
State ID
Zip Code 83687-3102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306043369 Kormylo Orthopedic Inc Prosthetic/Orthotic Supplier 3906 E Flamingo Ave, Nampa, ID 83687-3102 2007-07-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699307447 Current Physical Therapy Nampa LLC Physical Therapist 16150 N High Desert Street, Nampa, ID 83687 2020-02-10
1356867683 Nampa of Cascadia, LLC Skilled Nursing Facility 900 North Happy Valley Rd, Nampa, ID 83687 2017-08-18
1750828513 Daniel & Max, LLC Optometrist 1600 Karcher Rd, Nampa, ID 83687 2017-01-31
1578965422 Jorge Domingo Reyes Counselor 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 2014-09-23
1619302080 David Lyle Farris Dentist 16548 North Franklin Blvd., Nampa, ID 83687 2013-09-04
1871934547 Ian Zafar Qureshi Internal Medicine 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 2013-07-10
1457696783 Laurel Evans Specialist/Technologist 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 2012-11-27
1750641197 Andrea Patricia Fitzer Nurse Practitioner 4400 E. Flamingo Ave, Nampa, ID 83687 2012-05-18
1679846182 Ivony Case Management Case Management 811 12th Street, Ste. 2, Nampa, ID 83687 2012-02-14
1699043679 Saltzer Medical Group, P.a. Durable Medical Equipment & Medical Supplies 9850 W St Lukes Drive, Nampa, ID 83687 2011-12-06
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588148134 Dondell Inc. Prosthetic/Orthotic Supplier 2102 Caldwell Blvd Ste 116, Nampa, ID 83651-1513 2018-09-19
1437384344 Brownfields Inc Prosthetic/Orthotic Supplier 847-1 Parkcentre Way, Nampa, ID 83651-1792 2009-05-20
1306043369 Kormylo Orthopedic Inc Prosthetic/Orthotic Supplier 3906 E Flamingo Ave, Nampa, ID 83687-3102 2007-07-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881228591 Idaho Prosthetics & Orthotics, Inc. Prosthetic/Orthotic Supplier 476 Cheney Dr W Ste 160, Twin Falls, ID 83301-3790 2020-03-03
1619508702 Evergreen Prosthetics and Orthotics, LLC Prosthetic/Orthotic Supplier 1500 E Heritage Park St Ste 100, Meridian, ID 83646-5884 2020-01-28
1346803335 Rehab Systems, Inc. Prosthetic/Orthotic Supplier 504 N 10th Ave Ste A, Caldwell, ID 83605-2925 2019-04-16
1598294811 Ankle Roll Guard, LLC Prosthetic/Orthotic Supplier 560 W Ashby Dr, Meridian, ID 83646-4131 2017-06-08
1881126324 Norco, Inc Prosthetic/Orthotic Supplier 163 Thula St Ste 6, Mccall, ID 83638-4429 2017-04-03
1861872269 Orthopro of Twin Falls, Inc. Prosthetic/Orthotic Supplier 1200 Overland Ave, Suite 1, Burley, ID 83318-1867 2015-06-02
1881931319 Occupational Therapy Unlimited, LLC Prosthetic/Orthotic Supplier 30 E Little Ave, Driggs, ID 83422-5138 2013-01-03
1023379377 Kootenai Prosthetic Orthotic Services Inc Prosthetic/Orthotic Supplier 1160 E Polston Ave, Post Falls, ID 83854-6045 2012-06-04
1427375724 Performance Therapy, LLC Prosthetic/Orthotic Supplier 2922 Cortez Ave, Idaho Falls, ID 83404-7554 2010-04-26
1265756886 Brownfields Inc Prosthetic/Orthotic Supplier 1912 E Franklin Rd, Meridian, ID 83642-5906 2010-03-25
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Competitor

Search similar providers

City NAMPA
Zip Code 83687

Improve Information

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Dataset Information

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.

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