Lizotte P&O Associates LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

0I00000335 Issued in WA

Legal business name

LIZOTTE P&O ASSOCIATES LLC

Doing business as

Washington Orthotics and Prosthetics

Practice address

5605 100TH St SW
Suite a
Lakewood, WA 98499-2710

Phone

(253) 301-3500

Fax

(253) 302-3426

NPI assigned

Dec 1, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Thomas W Lizotte Jr., LCPONPI 1770775868

Title

Owner

Phone

(253) 761-9255

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Washington Orthotics and Prosthetics Doing business as

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).

• Lizotte P & O Associates LLC

  • Prosthetist
  • Tacoma, WA
  • NPI 1275779993

  7618173295

  Same PAC ID

Tax ID family

Lizotte PO Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lizotte P & O Associates LLC

  • Prosthetist
  • Tacoma, WA
  • NPI 1275779993
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas W Lizotte Jr., CPO

  • Prosthetist
  • Tacoma, WA
  • NPI 1770775868

  Orthotist

  NPD Authorized official
• Nathan Dooley, CPO

  • Orthotist
  • Seattle, WA
  • NPI 1821530890
  NPD (past)

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1063780377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 S CEDAR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052301",
            "telephone_number": "253-761-9255",
            "fax_number": "253-752-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 100TH ST SW",
            "address_2": "SUITE A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992710",
            "telephone_number": "253-301-3500",
            "fax_number": "253-302-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZOTTE P&O ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "LIZOTTE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-761-9255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "0I00000335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9036963",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayleigh Mae Littlefield
• Chian-Yi Liu, N.D.
• Fangyi Liu, MD
• Jolene M Livingston, LMP
• Leah Livingston
• John C Lo Jr., D.M.D.
• Rochelle Lockard
• Tyanna Loder
• Nekisha Lofton
• Taibika O Lofton

• Prosthetic/Orthotic Supplier in Lakewood, WA
• Providers in Lakewood, 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 26, 2013; 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.