Organization Active NPI

Knapp Prosthetics

  • Prosthetic/Orthotic Supplier
  • Olympia, WA
National Provider Identifier
1124082433
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
OI00000186 Issued in WA
Legal business name
KNAPP PROSTHETICS
Practice address
530 Lilly Rd SE
#100
Olympia, WA 98501-2111
Phone
(360) 486-0565
Fax
(360) 486-0551
NPI assigned
Apr 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Garth M. Knapp, LCPONPI 1487161394
Title
President/Owner
Phone
(360) 486-0565

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X PS00000379 WA
Prosthetic/Orthotic Supplier 335E00000X OI00000186 WA Primary

Addresses

Primary practice location

530 Lilly Rd SE
#100
Olympia, WA 98501-2111

Mailing address

530 Lilly Rd SE
#100
Olympia, WA 98501-2111
Phone (360) 486-0565

Other identifiers 3

IdentifierTypeStateIssuer
188631OtherWALABOR & INDUSTRIES
9055971MedicaidWA
1255SOOtherWAREGENCE BLUE SHIELD

Other names 1

  • Sound Prosthetics & Orthotics, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930066678 WA DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic PersonnelDME Supplier - Pedorthic Personnel 3375753825 Practice locations: Olympia, WA

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
Sound Prosthetics and Orthotics530 Lilly Rd SE, Olympia, WA 98501-2105(360) 486-0565 Canes and/or Crutches|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 7, 2005

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

530 Lilly Rd SE
Ste 100
Olympia, WA 98501
Phone (360) 486-0565

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1124082433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LILLY RD SE",
            "address_2": "#100",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012111",
            "telephone_number": "360-486-0565",
            "fax_number": "360-486-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LILLY RD SE",
            "address_2": "#100",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012111",
            "telephone_number": "360-486-0565",
            "fax_number": "360-486-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNAPP PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "GARTH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "360-486-0565",
        "authorized_official_credential": "LCPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "PS00000379",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "OI00000186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "188631",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9055971",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "1255SO",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sound Prosthetics & Orthotics, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.