NPIMap

Organization Active NPI

Comotion Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Ellensburg, WA
National Provider Identifier
1194372805
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
COMOTION ORTHOTICS & PROSTHETICS, INC.
Practice address
2701 Sorenson Rd
Ellensburg, WA 98926-9622
Phone
(509) 607-0873
NPI assigned
Aug 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Brian T. Williams, C.P.O., L.P.O.NPI 1578110276
Title
President
Phone
(509) 607-0873

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

2701 Sorenson Rd
Ellensburg, WA 98926-9622

Mailing address

2701 Sorenson Rd
Ellensburg, WA 98926-9622
Phone (509) 607-0873

Other identifiers 1

IdentifierTypeStateIssuer
0144247OtherWAWASHINGTON STATE DEPARTMENT OF LABOR & INDUSTRIES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1194372805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SORENSON RD",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989269622",
            "telephone_number": "509-607-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SORENSON RD",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989269622",
            "telephone_number": "509-607-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMOTION ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-607-0873",
        "authorized_official_credential": "C.P.O., L.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF LABOR & INDUSTRIES",
            "identifier": "0144247",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.