ISLAND PROSTHETICS & ORTHOTICS, INC. (NPI# 1821048034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821048034 |
| Entity Type | Organization |
| Organization Name | ISLAND PROSTHETICS & ORTHOTICS, INC. |
| Practice Address |
80 N. Main St Suite C Coupeville WA 98239 |
| Mailing Address |
6921 High Point Dr Clinton WA 98236-8702 |
| Practice Telephone | 3606784700 |
| Practice Fax Number | 3606784711 |
| Mailing Telephone | 3606784700 |
| Mailing Fax Number | 3606784711 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-03-26 |
| Authorized Official Name | MR. DAVID E. MATHEWS (OWNER) |
| Authorized Official Telephone | 3606784700 |
| Authorized Official Credential | LCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 602433234 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9052986 | 05 | |
| WA | LABOR & INDUSTRIES, WA | 0143888 | 01 |
| WA | REGENCE BLUE SHIELD | 5780IS | 01 |
| Street Address |
80 N. MAIN ST SUITE C |
| City | COUPEVILLE |
| State | WA |
| Zip Code | 98239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295012151 | Charles Wynkoop | Counselor | 105 N W 1st Street, Coupeville, WA 98239 | 2011-11-07 |
| 1740584598 | Justine Hagness | Counselor | 105 Northwest 1st Street, Coupeville, WA 98239 | 2011-01-07 |
| 1659674851 | Lindsay Rae Farish | Physical Therapist | 35 Nw 1st Street, Coupeville, WA 98239 | 2010-12-09 |
| 1144550526 | Lori B Taylor | Nutritionist | 107 South Main St., Suite D201, Coupeville, WA 98239 | 2010-01-06 |
| 1013155407 | Tana Louise Cornelius | Respiratory Therapist, Registered | 1143 Nimitz Dr, Coupeville, WA 98239 | 2009-01-23 |
| 1447413091 | Whidbey Island Public Hospital District | General Acute Care Hospital | 205 S Main Street, A, Coupeville, WA 98239 | 2008-07-03 |
| 1831375138 | Laura Ann Natusch | Marriage & Family Therapist | 604 Nw Glenwood Court, Coupeville, WA 98239 | 2008-01-16 |
| 1417139791 | Compass Health | Community/Behavioral Health | 105 Northwest First Street, Coupeville, WA 98239 | 2007-11-29 |
| 1972723724 | Stanley Norling Anderson | Dentist | 412 N. Main St., Coupeville, WA 98239 | 2007-04-26 |
| 1053476457 | Bj Solberg | Social Worker | 105 N. First St., Coupeville, WA 98239 | 2006-12-26 |
| Find all providers in zip 98239 | ||||
| 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 |
|---|---|---|---|---|
| 1699317784 | Preferred Orthotic and Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 520 S Cowley St Ste 104, Spokane, WA 99202-1315 | 2019-10-10 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1063906295 | Wmc Inc | Prosthetic/Orthotic Supplier | 2600 3rd Ave Ste B, Seattle, WA 98121-1293 | 2018-06-20 |
| 1174934707 | Nw Magnum LLC | Prosthetic/Orthotic Supplier | 108 Central Way, Kirkland, WA 98033-6106 | 2014-05-16 |
| 1205100013 | Cadence Biomedical, Inc. | Prosthetic/Orthotic Supplier | 146 N Canal St Ste 100, Seattle, WA 98103-8652 | 2012-02-27 |
| 1174807853 | Dental Sleep Therapy of Walla Walla Pllc | Prosthetic/Orthotic Supplier | 213 S 2nd Ave, Walla Walla, WA 99362-3002 | 2011-09-29 |
| 1922396159 | Hair Options | Prosthetic/Orthotic Supplier | 7106 Greenwood Ave N, Seattle, WA 98103-5038 | 2011-07-21 |
| 1083902746 | Seattle Cancer Care Alliance | Prosthetic/Orthotic Supplier | 207 Pontius Ave N, Suite 101, Seattle, WA 98109-5650 | 2011-07-15 |
| 1457645426 | Rcm Enterprise, LLC | Prosthetic/Orthotic Supplier | 8526 Delphi Rd Sw, Olympia, WA 98512-9349 | 2011-06-07 |
| 1417255019 | Beauty N Kurves LLC | Prosthetic/Orthotic Supplier | 513 1st Ave W, Seattle, WA 98119-3925 | 2011-03-05 |
| Find all providers with the same taxonomy | ||||
| City | COUPEVILLE |
| Zip Code | 98239 |
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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.