Organization Active NPI

Open Bionics Inc

  • Prosthetic/Orthotic Supplier
  • Lakewood, CO
National Provider Identifier
1194497453
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
OPEN BIONICS INC
Practice address
200 Union Blvd Ste 440
Lakewood, CO 80228-1812
Phone
(720) 417-8698
Fax
(720) 640-0405
NPI assigned
Oct 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Elise Griset, CPO, MSPONPI 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 connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X
ProsthetistGroup: 193400000X SINGLE SPECIALTY GROUP 224P00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

200 Union Blvd Ste 440
Lakewood, CO 80228-1812

Mailing address

200 Union Blvd Ste 440
Lakewood, CO 80228-1812
Phone (720) 417-8698

Other practice location 1

201 N Brand Blvd Unit 200
Glendale, CA 91203-3590
Phone (626) 800-4432

Other practice location 2

100 Park Ave # 1664
New York, NY 10017-5516
Phone (838) 900-3924

Other practice location 3

4700 Millenia Blvd Ste 500
Orlando, FL 32839-6019
Phone (877) 437-6276

Other practice location 4

9442 N Capital Of Texas Hwy Ste 500
Austin, TX 78759-7228
Phone (737) 301-8150

Other names 1

  • Open Bionics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220418001995 CO DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 1759778988 Practice locations: Lakewood, CO

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 Inc200 Union Blvd, Lakewood, CO 80228-1846(877) 437-6276 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Limb Prostheses|Lymphedema Compression Treatment Items 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

Other organizations with this tax ID 10

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

Locations

1514 Curtis St
Ste 200
Denver, CO 80202

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": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1194497453",
    "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",
            "telephone_number": "720-417-8698",
            "fax_number": "720-640-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNION BLVD STE 440",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281812",
            "telephone_number": "720-417-8698",
            "fax_number": "720-640-0405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Brand Blvd Unit 200",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912033590",
            "country_code": "US",
            "telephone_number": "626-800-4432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Park Ave # 1664",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100175516",
            "country_code": "US",
            "telephone_number": "838-900-3924",
            "fax_number": "720-640-0405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Millenia Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328396019",
            "country_code": "US",
            "telephone_number": "877-437-6276",
            "fax_number": "720-640-0405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9442 N Capital Of Texas Hwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787597228",
            "country_code": "US",
            "telephone_number": "737-301-8150",
            "fax_number": "720-640-0405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPEN BIONICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "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",
        "authorized_official_credential": "CPO, MSPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Bionics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Open Bionics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.