Organization Active NPI

Westlake Orthotics and Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Saint Paul, MN
National Provider Identifier
1104163187
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
WESTLAKE ORTHOTICS AND PROSTHETICS INC
Practice address
280 Smith Ave N Ste 101
Saint Paul, MN 55102-2420
Phone
(651) 291-9000
Fax
(651) 291-8894
NPI assigned
Jan 10, 2013
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Mr. Todd Michael Westlake, CPONPI 1467673715
Title
Ceo
Phone
(651) 291-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

280 Smith Ave N Ste 101
Saint Paul, MN 55102-2420

Mailing address

280 Smith Ave N Ste 101
Saint Paul, MN 55102-2420
Phone (651) 291-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130228000184 MN DME Supplier - Certified Orth/Pros/Pedorthist 7911152715 Practice locations: Saint Paul, MN

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
Westlake Orthotics and Prosthetics280 Smith Ave N, Saint Paul, MN 55102-2420(651) 291-9000 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 Dec 10, 2012

National Provider Directory

National Provider Directory

Locations

280 Smith Ave N
Ste 101
Saint Paul, MN 55102
Phone (651) 291-9000

Practitioners & affiliated clinicians

Practitioners 6

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": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1104163187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SMITH AVE N STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022420",
            "telephone_number": "651-291-9000",
            "fax_number": "651-291-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SMITH AVE N STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022420",
            "telephone_number": "651-291-9000",
            "fax_number": "651-291-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE ORTHOTICS AND PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "WESTLAKE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-291-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.