MAUGHAN PROSTHETIC & ORTHOTIC, INC. (NPI# 1487148847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487148847 |
| Entity Type | Organization |
| Organization Name | MAUGHAN PROSTHETIC & ORTHOTIC, INC. |
| Practice Address |
127 Sw 156th St Burien WA 98166 |
| Mailing Address |
Po Box 1546 Graham WA 98338-1546 |
| Practice Telephone | 2062462714 |
| Practice Fax Number | 2062464665 |
| Mailing Telephone | 3604470770 |
| Mailing Fax Number | 2538757768 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | KRYSTEN M EADS (CLINIC ADMIN/CFO) |
| Authorized Official Telephone | 3604470770 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAUGHAN PROSTHETIC & ORTHOTIC, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224P00000X | Prosthetist | PS00000068 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 222Z00000X | Orthotist | OI00000067 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2007326 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215168398 | Maughan Prosthetic & Orthotic, Inc. | Prosthetic/Orthotic Supplier | 9220 Ridgetop Blvd Nw, Suite 110, Silverdale, WA 98383-8556 | 2009-08-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MAUGHAN PROSTHETIC & ORTHOTIC, INC. | 9220 Ridgetop Blvd Nw, #110, Silverdale, WA 98383-8556 |
| Street Address |
127 SW 156TH ST |
| City | BURIEN |
| State | WA |
| Zip Code | 98166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912284365 | Megan Larson | Orthotist | 127 Sw 156th St, Burien, WA 98166-2562 | 2011-11-14 |
| 1609489194 | Emily Mcquarrie | Speech-Language Pathologist | 127 Sw 156th St, Burien, WA 98166-2515 | 2020-08-25 |
| 1821643446 | Caitlin Mae Harris | Speech-Language Pathologist | 127 Sw 156th St, Burien, WA 98166-2515 | 2019-08-09 |
| 1790203065 | Breanne Marie Toney | Speech-Language Pathologist | 127 Sw 156th St, Burien, WA 98166-2515 | 2017-09-06 |
| 1114393345 | Janalair, LLC | Prosthetic/Orthotic Supplier | 127 Sw 156th St, Burien, WA 98166-2562 | 2015-08-11 |
| 1922480334 | Children's Therapy Center | Durable Medical Equipment & Medical Supplies | 127 Sw 156th St, Burien, WA 98166-2562 | 2015-06-22 |
| 1609267970 | Laura Bannick | Occupational Therapist | 127 Sw 156th St, Burien, WA 98166 | 2015-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
| Find all providers in zip 98166 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| 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 |
|---|---|---|---|---|
| 1912284365 | Megan Larson | Orthotist | 127 Sw 156th St, Burien, WA 98166-2562 | 2011-11-14 |
| 1831490671 | Molly Frances Mccoy | Orthotist | 126 Sw 148th St Ste C100, Pmb 275, Burien, WA 98166-1984 | 2010-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173934 | Christopher Smith | Orthotist | 315 Jefferson St Ne, Olympia, WA 98501-1123 | 2020-10-27 |
| 1578110276 | Brian T. Williams | Orthotist | 2701 Sorenson Rd, Ellensburg, WA 98926-9622 | 2019-08-19 |
| 1275077851 | Geoffrey Balkman | Orthotist | 501 Eastlake Ave E Ste 300, Seattle, WA 98109-5546 | 2016-12-15 |
| 1427461060 | Donn Oshiro | Orthotist | 650 S Orcas St Ste 100, Seattle, WA 98108-2654 | 2014-06-10 |
| 1164844403 | Brittany Kolesar | Orthotist | 616 120th Ave Ne Ste 111, Bellevue, WA 98005-3048 | 2014-01-06 |
| 1003240797 | Patrick Henry Stempski | Orthotist | 501 Eastlake Avenue East, Suite 300, Seattle, WA 98109 | 2013-08-29 |
| 1871925552 | Cody Mcdonald | Orthotist | 7308 Bridgeport Way W Ste 204, Lakewood, WA 98499-8000 | 2013-08-05 |
| 1700225653 | Eric Thomas George | Orthotist | 9611 Mickelberry Rd Nw, Ste A, Silverdale, WA 98383-8300 | 2013-06-24 |
| 1144669342 | Glen Pigman | Orthotist | 3612 S 11th St, Tacoma, WA 98405-2126 | 2013-06-20 |
| 1275880015 | Jacob Robert Lynn Brubaker | Orthotist | 17927 131st St E, Bonney Lake, WA 98391-7686 | 2012-08-10 |
| 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.