Active NPI
Justin Williams, CPO
- Prosthetist
- Olympia, WA
National Provider Identifier
1124332515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 530 Lilly Rd SE Ste 100
Olympia, WA 98501-2105 - Phone
- (360) 486-0565
- Fax
- (360) 486-0551
- NPI assigned
- Jul 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | |||
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
530 Lilly Rd SE Ste 100
Olympia, WA 98501-2105
Mailing address
530 Lilly Rd SE Ste 100
Olympia, WA 98501-2105
Phone (360) 486-0565
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knapp Prosthetics | Orthotist | Past | Accepting new patients |
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": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1124332515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 LILLY RD SE STE 100",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985012105",
"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 STE 100",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985012105",
"telephone_number": "360-486-0565",
"fax_number": "360-486-0551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JUSTIN",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-28",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.