NPIMap

Organization Active NPI

Cornerstone Prosthetics and Orthotics, Inc

  • Prosthetic/Orthotic Supplier
  • Kirkland, WA
National Provider Identifier
1073310314
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CORNERSTONE PROSTHETICS AND ORTHOTICS, INC
Practice address
12911 120TH Ave NE Ste A60
Kirkland, WA 98034-3020
Phone
(425) 650-8001
Fax
(978) 313-0988
NPI assigned
Feb 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Kelly Gies
Title
Coo
Phone
(425) 339-2559

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

12911 120TH Ave NE Ste A60
Kirkland, WA 98034-3020

Mailing address

12911 120TH Ave NE Ste A60
Kirkland, WA 98034-3020
Phone (425) 650-8001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260130001247 WA DME Supplier - Medical Supply Company With Orthotic-Prosthetic 8628195187 Practice locations: Kirkland, WA

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cornerstone Prosthetics & Orthotics12911 120TH Ave NE, Kirkland, WA 98034-3020(425) 650-8001 Continuous Passive Motion (CPM) Devices|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 2019

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Prosthetics and Orthotics Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

7631 212th St SW
Ste 102A
Edmonds, WA 98026
Phone (425) 776-1247

12911 120th Ave NE
Ste A60
Kirkland, WA 98034
Phone (425) 650-8001

1600 Continental Pl
Ste 105
Mount Vernon, WA 98273
Phone (360) 416-6505

1520 Roosevelt Ave
Mount Vernon, WA 98273
Phone (360) 416-6505

566 N 5th Ave
Sequim, WA 98382
Phone (360) 797-1001

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1073310314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE A60",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343020",
            "telephone_number": "425-650-8001",
            "fax_number": "978-313-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE A60",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343020",
            "telephone_number": "425-650-8001",
            "fax_number": "978-313-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PROSTHETICS AND ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "GIES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "425-339-2559"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.