Active NPI
Center for Prosthetics Orthotics, Inc.
- Prosthetics Case Management
- Bellevue, WA
National Provider Identifier
1013980820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- PS00000002
- Legal business name
- CENTER FOR PROSTHETICS ORTHOTICS, INC.
- Practice address
- 1231 116TH Ave NE Ste 725
Suite 725
Bellevue, WA 98004-3804 - Phone
- (425) 454-4276
- Fax
- (425) 454-3445
- NPI assigned
- Feb 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Ignacio, CPO
- Title
- Owner
- Phone
- (206) 328-4276
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | PS00000002 | WA | Primary |
Addresses
Primary practice location
1231 116TH Ave NE Ste 725
Suite 725
Bellevue, WA 98004-3804
Mailing address
411 12TH Ave
Seattle, WA 98122-5577
Phone (206) 328-4276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9015561 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366156800000",
"number": "1013980820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 12TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225577",
"telephone_number": "206-328-4276",
"fax_number": "206-328-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 116TH AVE NE STE 725",
"address_2": "SUITE 725",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043804",
"telephone_number": "425-454-4276",
"fax_number": "425-454-3445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR PROSTHETICS ORTHOTICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-10",
"last_updated": "2013-04-17",
"status": "A",
"authorized_official_last_name": "IGNACIO",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-328-4276",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": "WA",
"license": "PS00000002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9015561",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.