Individual provider Active NPI

Peter Springs, CPO

  • Prosthetic/Orthotic Supplier
  • Spokane Valley, WA
National Provider Identifier
1104149921
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Practice address
1120 N Pines Rd Ste C
Spokane Valley, WA 99206-4942
Phone
(509) 359-5329
NPI assigned
Mar 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

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

Addresses

Primary practice location

1120 N Pines Rd Ste C
Spokane Valley, WA 99206-4942

Mailing address

1120 N Pines Rd Ste C
Spokane Valley, WA 99206-4942
Phone (509) 359-5329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kickstart Orthotics and Prosthetics, PLLC Prosthetic/Orthotic Supplier CurrentSince Aug 27, 2023 Accepting new patients

Locations

1120 N Pines Rd
Ste C
Spokane Valley, WA 99206
Phone (509) 590-0607

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1104149921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N PINES RD STE C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064942",
            "telephone_number": "509-359-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N PINES RD STE C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064942",
            "telephone_number": "509-359-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGS",
        "first_name": "PETER",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.