ADVANCED PROSTHETICS AND ORTHOTICS LLC (NPI# 1518448638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518448638 |
Entity Type | Organization |
Organization Name | ADVANCED PROSTHETICS AND ORTHOTICS LLC |
Other Organization Name | KORMYLO ORTHOPEDIC |
Practice Address |
175 N Benjamin Ln Boise ID 83704-8328 |
Practice Telephone | 2083774024 |
Mailing Telephone | 2089855190 |
Enumeration Date | 2018-08-27 |
Last Update Date | 2019-05-20 |
Authorized Official Name | MRS. STEPHANIE WALKER MCDONALD (OWNER) |
Authorized Official Telephone | 2089855190 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Other Name | Type Code |
---|---|
Kormylo Orthopedic | Other Name - Individual/Organization |
Address | Telephone Number | Fax Number |
---|---|---|
3906 E Flamingo Ave, Nampa, ID 836873102 | 2084664360 |
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 |
1346717899 | Advanced Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 3906 E Flamingo Ave, Nampa, ID 83687-3102 | 2018-11-01 |
Street Address |
175 N BENJAMIN LN |
City | BOISE |
State | ID |
Zip Code | 83704-8328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902811433 | Kormylo Orthopedic Inc | Prosthetic/Orthotic Supplier | 175 N Benjamin Ln, Boise, ID 83704-8328 | 2006-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
Find all providers in zip 83704 |
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 |
---|---|---|---|---|
1912123795 | B & B Lingerie Company, Inc. | Prosthetic/Orthotic Supplier | 2417 Bank Dr, Suite 201, Boise, ID 83705-2570 | 2007-04-18 |
1902811433 | Kormylo Orthopedic Inc | Prosthetic/Orthotic Supplier | 175 N Benjamin Ln, Boise, ID 83704-8328 | 2006-07-31 |
1912905100 | Rehab Systems, Inc. | Prosthetic/Orthotic Supplier | 427 N Curtis Rd, Boise, ID 83706-1439 | 2005-07-12 |
1588912653 | Walkwell Walking Center, LLC | Prosthetic/Orthotic Supplier | 220 W Jefferson St, Boise, ID 83702-6044 | 2012-08-21 |
1962655639 | Sawtooth Orthotics & Prosthetics Inc | Prosthetic/Orthotic Supplier | 780 S 14th St, Boise, ID 83702-6841 | 2008-10-28 |
1265691877 | Angels In Your Corner | Prosthetic/Orthotic Supplier | 1524 Broadway Ave, Boise, ID 83706-3708 | 2008-06-09 |
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 |
1588148134 | Dondell Inc. | Prosthetic/Orthotic Supplier | 2102 Caldwell Blvd Ste 116, Nampa, ID 83651-1513 | 2018-09-19 |
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 |
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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.