ELLIOTT PEDORTHIC CARE LLC


Address: 85084 Kensington Dr, Pleasant Hill, OR 97455-9621
Phone: 5417260751

ELLIOTT PEDORTHIC CARE LLC (NPI# 1467783761) 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) 1467783761
Entity Type Organization
Organization Name ELLIOTT PEDORTHIC CARE LLC
Other Organization Name ELLIOTT FOOTWEAR & ORTHOTIC SERVICES
Practice Address 85084 Kensington Dr
Pleasant Hill
OR 97455-9621
Practice Telephone 5417260751
Mailing Telephone 5417260751
Enumeration Date 2010-01-26
Last Update Date 2010-01-26
Authorized Official Name MR. BRADY ELLIOTT (MANAGER)
Authorized Official Telephone 5417260751
Authorized Official Credential CPED
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
Elliott Footwear & Orthotic Services Doing Business As Name - Organization

Office Location

Street Address 85084 KENSINGTON DR
City PLEASANT HILL
State OR
Zip Code 97455-9621

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194387969 Pleasant Hill Chiropractic Chiropractor 35835 Highway 58, Pleasant Hill, OR 97455 2019-07-02
1689151920 Melissa Rice Nurse Practitioner 35859 Or-58, Pleasant Hill, OR 97455 2018-07-19
1922541184 Icco LLC Clinic/Center 35859 Hwy 58, Pleasant Hill, OR 97455 2016-11-21
1891172433 Julie L Boffing Pharmacist 85708 Parkway Road, Pleasant Hill, OR 97455 2015-05-04
1780849893 Kimberly G Metzler Massage Therapist 84889 Tillicum Road, Suite #11, Pleasant Hill, OR 97455 2008-07-29
1316288012 Stephanie Lynn Burns Massage Therapist 84568 N Enterprise Rd, Pleasant Hill, OR 97455-9608 2013-03-06
1356724710 David Harries Massage Therapist 85070 Kensington Dr, Pleasant Hill, OR 97455-9621 2015-07-02
1780937847 Michelle Spresser Registered Nurse 84491 Parkway Rd, Pleasant Hill, OR 97455-9628 2012-10-25
1861533697 Susan Terry Schloss Counselor 36565 Star Rd, Pleasant Hill, OR 97455-9629 2007-02-12
1649248139 Lyle R Torguson Family Medicine 35859 Highway 58, Pleasant Hill, OR 97455-9651 2006-03-09
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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
1609934660 Collier Rehabilitation Systems Prosthetic/Orthotic Supplier 3161 Putnam Blvd, Pleasant Hill, CA 94523-4650 2006-12-04
1689831885 Castle Hill Holdings Inc Prosthetic/Orthotic Supplier 3161 Putnam Blvd, Pleasant Hill, CA 94523-4650 2008-05-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811500705 Synergy Medical Systems, LLC Prosthetic/Orthotic Supplier 19365 Sw 65th Ave Ste 210, Tualatin, OR 97062-9196 2020-08-28
1881007607 Shannon Levin Prosthetic/Orthotic Supplier 441 Union St Ne, Salem, OR 97301-2458 2014-06-09
1174892640 Cognitive Harmonics, Inc Prosthetic/Orthotic Supplier 2104 Hill Way, Medford, OR 97504-6208 2011-12-29
1841581717 Pacific Footwear Company Inc Prosthetic/Orthotic Supplier 1150 Knutson Ave, Suite 12, Medford, OR 97504-3100 2011-04-27
1417257742 A Step Forward LLC Prosthetic/Orthotic Supplier 744 Hawthorne Ave Ne, Salem, OR 97301-4675 2010-11-03
1780836049 Angel Hair Foundation Inc Prosthetic/Orthotic Supplier 2783 Suncrest Ave, Eugene, OR 97405-5923 2008-10-17
1295986065 Mirage Hair Systems, Inc. Prosthetic/Orthotic Supplier Suite 210 Oakway Ctr, Suite 210, Eugene, OR 97401-5618 2008-10-09
1457517138 Genesis Medical Group, LLC. Prosthetic/Orthotic Supplier 16679 Boones Ferry Rd Ste 215, Lake Oswego, OR 97035-4368 2008-08-01
1518148105 Paradox Walkfit Inc. Prosthetic/Orthotic Supplier 15532 Sw Pacific Hwy, Suite C1a, Tigard, OR 97224-3598 2007-11-24
1821286501 Willamette Orthotics & Prosthetics LLC Prosthetic/Orthotic Supplier 333 Nw Larch Ave Ste 1, Redmond, OR 97756-1359 2007-10-09
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Competitor

Search similar providers

City PLEASANT HILL
Zip Code 97455

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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