ADVANCED PROSTHETICS AND ORTHOTICS LLC


Address: 175 N Benjamin Ln, Boise, ID 83704-8328
Phone: 2083774024

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Kormylo Orthopedic Other Name - Individual/Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
3906 E Flamingo Ave, Nampa, ID 836873102 2084664360

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
1346717899 Advanced Prosthetics and Orthotics LLC Prosthetic/Orthotic Supplier 3906 E Flamingo Ave, Nampa, ID 83687-3102 2018-11-01

Office Location

Street Address 175 N BENJAMIN LN
City BOISE
State ID
Zip Code 83704-8328

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902811433 Kormylo Orthopedic Inc Prosthetic/Orthotic Supplier 175 N Benjamin Ln, Boise, ID 83704-8328 2006-07-31

Providers in the same zip code

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 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
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

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
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
Find all providers with the same taxonomy

Competitor

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City BOISE
Zip Code 83704

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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