Orthocare Innovations Clinical Services LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHOCARE INNOVATIONS CLINICAL SERVICES LLC

Practice address

6405 218TH SW
Suite 301
Mountlake Terrace, WA 98043-2180

Phone

(425) 771-0797

Fax

(206) 219-1144

NPI assigned

Jul 10, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Wayne K Daly, C.P.O., L.P.O., F.A.

Title

Research Prosthetist

Phone

(425) 771-0797

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1013146083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 218TH S.W.",
            "address_2": "SUITE 301",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432180",
            "telephone_number": "425-771-0797",
            "fax_number": "206-219-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 218TH SW",
            "address_2": "SUITE 301",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432180",
            "telephone_number": "425-771-0797",
            "fax_number": "206-219-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOCARE INNOVATIONS CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "RESEARCH PROSTHETIST",
        "authorized_official_telephone_number": "425-771-0797",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O., L.P.O., F.A."
    },
    "taxonomies": [
        {
            "code": "261QA0900X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Amputee",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS PTAN NUMBER",
            "identifier": "6346080001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olympic Speech Therapy LLC
• Olympic Spine and Sports Therapy PC
• Olympic Sports Rehab
• Ibukun Omole, ND, LAC
• Emily R Ondatje
• Orthocare Innovations, LLC
• Grace Osborne-Neukirch
• Allison Marie Osborne
• Kaitlyn Overman
• Lori Overson, LMP

• Prosthetic/Orthotic Supplier in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.