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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | OR | Suppliers |
Other Name | Type Code |
---|---|
Elliott Footwear & Orthotic Services | Doing Business As Name - Organization |
Street Address |
85084 KENSINGTON DR |
City | PLEASANT HILL |
State | OR |
Zip Code | 97455-9621 |
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 |
Find all providers in zip 97455 |
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 |
---|---|---|---|---|
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 |
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 |
Find all providers with the same taxonomy |
City | PLEASANT HILL |
Zip Code | 97455 |
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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.