Active NPI
Knapp Prosthetics
- Prosthetic/Orthotic Supplier
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- OI00000186
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Garth M. Knapp, LCPO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188631 | Other | WA | LABOR & INDUSTRIES |
| 9055971 | Medicaid | WA | |
| 1255SO | Other | WA | REGENCE BLUE SHIELD |
Other names 1
- Sound Prosthetics & Orthotics, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930066678 | WA | DME Supplier - Prosthetic Personnel | 3375753825 | Practice locations: Olympia, WA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Sound Prosthetics and Orthotics | 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 assignment |
National Provider Directory
National Provider DirectoryMember 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.
-
- Pedorthist
- Olympia, WA
- NPI 1275040081
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.