NPIMap

Organization Active NPI

Open Bionics Inc

  • Prosthetic/Orthotic Supplier
  • Atlanta, GA
National Provider Identifier
1174413157
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
OPEN BIONICS INC
Practice address
303 Perimeter Ctr N Ste 300
Atlanta, GA 30346-3401
Phone
(877) 437-6276
NPI assigned
Jul 9, 2025
Last updated
Jul 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
OPEN BIONICS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Elise GrisetNPI 1023780384
Title
Director of Clinical Operations
Phone
(720) 417-8698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X NU
Prosthetist 224P00000X NU
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

303 Perimeter Ctr N Ste 300
Atlanta, GA 30346-3401

Mailing address

200 Union Blvd Ste 440
Lakewood, CO 80228-1812

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251003002328 GA DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 1759778988 Practice locations: Atlanta, GA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Open Bionics Inc303 Perimeter Ctr N, Atlanta, GA 30346-3401(877) 437-6276 Orthoses: Custom Fabricated|Limb Prostheses Accepts assignmentParticipating since Jan 5, 2022

National Provider Directory

National Provider Directory
Tax ID family
Open Bionics Inc12 organizations share this tax ID, including this one
Part of
Open Bionics Inc

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Union Blvd
Ste 440
Lakewood, CO 80228
Phone (303) 953-5200

100 Park Ave
#1664
New York, NY 10017
Phone (838) 900-3924

Practitioners & affiliated clinicians

Practitioners 1

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": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1174413157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNION BLVD STE 440",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PERIMETER CTR N STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303463401",
            "telephone_number": "877-437-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN BIONICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPEN BIONICS INC",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "GRISET",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "720-417-8698"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.