Maughan Prosthetic & Orthotic, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MAUGHAN PROSTHETIC & ORTHOTIC, INC.

Practice address

1809 Cooks Hill Rd
Centralia, WA 98531-9072

Phone

(360) 330-1602

Fax

(360) 807-4511

NPI assigned

Sep 14, 2021

Last updated

Jul 23, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

MAUGHAN PROSTHETIC & ORTHOTIC, INC.As reported in NPPES

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

Authorized official

Name

Krysten M Eads

Title

Corporate Administrator/Cfo

Phone

(360) 447-0770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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).

• Maughan Prosthetic & Orthotic, Inc.

  • Prosthetic/Orthotic Supplier
  • Silverdale, WA
  • NPI 1215168398

  2567662471

  Same PAC ID

Tax ID family

Maughan Prosthetic Orthotic Inc2 organizations share this tax ID, including this one

Part of

Maughan Prosthetic Orthotic Inc

Other organizations with this tax ID 1

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

• Maughan Prosthetic & Orthotic, Inc.

  • Prosthetic/Orthotic Supplier
  • Silverdale, WA
  • NPI 1215168398
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Maughan Prosthetic & Orthotic, Inc.

  • Prosthetic/Orthotic Supplier
  • Silverdale, WA
  • NPI 1215168398
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin M Maughan, CPO

  • Prosthetist
  • Silverdale, WA
  • NPI 1710178041

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1013687821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1546",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983381546",
            "telephone_number": "360-447-0770",
            "fax_number": "253-904-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 COOKS HILL RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319072",
            "telephone_number": "360-330-1602",
            "fax_number": "360-807-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUGHAN PROSTHETIC & ORTHOTIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAUGHAN PROSTHETIC & ORTHOTIC, INC.",
        "enumeration_date": "2021-09-14",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "EADS",
        "authorized_official_first_name": "KRYSTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CORPORATE ADMINISTRATOR/CFO",
        "authorized_official_telephone_number": "360-447-0770"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob John Massarelli, PA-C
• Fredrick L Masters, CRNA
• Kathy Joy Matson, LPN
• Lora Lee Mattox, CPC
• Anne Elizabeth Matz, M.S.,P.T.
• Jason Maughan
• David L Maxey
• Elijah Maxwell, LMP
• Joshua B Mayes, PA-C
• Sherri Marie Maywald, MA

• Prosthetic/Orthotic Supplier in Centralia, WA
• Providers in Centralia, 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 Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.