NPIMap

Organization Active NPI

Seattle Orthotics and Prosthetics, LLC

Doing business as Valley Prosthetics and Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Puyallup, WA
National Provider Identifier
1043765878
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
PS00000071 Issued in WA
Legal business name
SEATTLE ORTHOTICS AND PROSTHETICS, LLC
Doing business as
Valley Prosthetics and Orthotics, LLC
Practice address
120 14TH Ave SE
Suite D
Puyallup, WA 98372-3718
Phone
(253) 848-0128
Fax
(206) 299-9445
NPI assigned
Aug 22, 2016
Last updated
Sep 15, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
SEATTLE ORTHOTICS AND PROSTHETICS,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
David Ellis Hensley, LCPONPI 1417209040
Title
Owner
Phone
(425) 640-2004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X PS00000071 WA Primary

Addresses

Primary practice location

120 14TH Ave SE
Suite D
Puyallup, WA 98372-3718

Mailing address

6405 218TH St SW
Suite 304
Mountlake Terrace, WA 98043-2180
Phone (425) 640-2004

Other names 1

  • Valley Prosthetics and Orthotics, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Seattle Orthotics and Prosthetics

Locations

120 14th Ave SE
Ste C
Puyallup, WA 98372
Phone (253) 435-5200

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1043765878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 218TH ST SW",
            "address_2": "SUITE 304",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432180",
            "telephone_number": "425-640-2004",
            "fax_number": "206-299-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 14TH AVE SE",
            "address_2": "SUITE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723718",
            "telephone_number": "253-848-0128",
            "fax_number": "206-299-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE ORTHOTICS AND PROSTHETICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEATTLE ORTHOTICS AND PROSTHETICS,LLC",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-640-2004",
        "authorized_official_credential": "LCPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "PS00000071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Prosthetics and Orthotics, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.