Active NPI
Joseph Thornton, LMPO
- Prosthetist
- Lewiston, ID
National Provider Identifier
1013136407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 801 Bryden Ave
Lewiston, ID 83501-4927 - Phone
- (208) 798-4605
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
801 Bryden Ave
Lewiston, ID 83501-4927
Mailing address
PO Box 2620
Hayden, ID 83835-2620
Phone (208) 676-9080
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135273 | Other | WA | L&I |
| 8M820 | Other | ID | BLUE CROSS OF IDAHO |
| 000010028073 | Other | ID | REGENCE BLUE SHIELD OF ID |
| 9047259 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearwater Orthotics and Prosthetics, LLC | Orthotist | Past | Accepting new patients |
| Clearwater Orthotics & Prosthetics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Lewiston, ID
- NPI 1699786525
-
- Prosthetic/Orthotic Supplier
- Lewiston, ID
- NPI 1285852004
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1013136407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2620",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838352620",
"telephone_number": "208-676-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BRYDEN AVE",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835014927",
"telephone_number": "208-798-4605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "JOSEPH",
"credential": "LMPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "135273",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "8M820",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD OF ID",
"identifier": "000010028073",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9047259",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.