IDAHO PROSTHETICS & ORTHOTICS, INC. (NPI# 1952433971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952433971 |
| Entity Type | Organization |
| Organization Name | IDAHO PROSTHETICS & ORTHOTICS, INC. |
| Practice Address |
333 N 18th Ave Ste B4 Pocatello ID 83201-3322 |
| Practice Telephone | 2084788000 |
| Practice Fax Number | 2084788801 |
| Mailing Telephone | 2084788000 |
| Mailing Fax Number | 2084788801 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | ANNETTE WRIGHT (OFFICE MANAGER) |
| Authorized Official Telephone | 2084788800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805166100 | 05 |
| 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 |
| 1760514780 | Idaho Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 2595 Channing Way, Idaho Falls, ID 83404-7516 | 2007-03-12 |
| Street Address |
333 N 18TH AVE STE B4 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578667739 | Mary Elizabeth Gerard | Psychiatry & Neurology | 333 N 18th Ave Ste B4, Pocatello, ID 83201 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| 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 |
|---|---|---|---|---|
| 1619043783 | Rocky Mountain Artificial Limb & Brace, Inc | Prosthetic/Orthotic Supplier | 2350 Via Caporatti Dr Ste B, Pocatello, ID 83201-5095 | 2006-11-28 |
| 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 | ||||
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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.