Organization Active NPI

Center for Prosthetics Orthotics, Inc.

  • Prosthetics Case Management
  • Bellevue, WA
National Provider Identifier
1013980820
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
PS00000002 Issued in WA
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

Updated by the provider on Apr 17, 2013

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)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9015561MedicaidWA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.