Spectrum Prosthetics and Orthotics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SPECTRUM PROSTHETICS AND ORTHOTICS, LLC

Practice address

2504 NW Medical Park Dr
Roseburg, OR 97471-5510

Phone

(541) 673-1275

Fax

(541) 471-4909

NPI assigned

May 9, 2007

Last updated

Sep 17, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

ORTHO DEV AMERICA CORPTAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ivan Sabel

Title

Ceo

Phone

(541) 734-2435

Specialties & licenses 2

Addresses

Other names 1

• SPECTRUM ORTHOTICS & PROSTHETICS Other name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Spectrum Prosthetics and Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Grants Pass, OR
  • NPI 1265554984

  9133397516

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Spectrum Prosthetics and Orthotics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spectrum Prosthetics and Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Grants Pass, OR
  • NPI 1265554984
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1003020066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 UNION AVE STE C",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275861",
            "telephone_number": "541-955-9678",
            "fax_number": "541-471-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 NW MEDICAL PARK DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715510",
            "telephone_number": "541-673-1275",
            "fax_number": "541-471-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PROSTHETICS AND ORTHOTICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHO DEV AMERICA CORPT",
        "enumeration_date": "2007-05-09",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "SABEL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-734-2435"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECTRUM ORTHOTICS & PROSTHETICS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SPECTRUM ORTHOTICS & PROSTHETICS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Christopher R Spence, MD
• Joseph Anthony Spinella, M.D.
• Jennifer M Sprague

• Prosthetic/Orthotic Supplier in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Prosthetic/Orthotic Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.