Orthopro of Twin Falls, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHOPRO OF TWIN FALLS, INC.

Practice address

3438 S 15TH E Ste 100
Idaho Falls, ID 83404-8262

Phone

(208) 878-0501

Fax

(208) 734-0766

NPI assigned

Jan 8, 2025

Organization subpart

Yes

Parent organization

ORTHOPRO OF TWIN FALLS, INC.As reported in NPPES

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

Authorized official

Name

Stacey D Johnson

Title

Office Manager

Phone

(208) 733-0505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Orthopro of Twin Falls, Inc

  • Prosthetics Case Management
  • Twin Falls, ID
  • NPI 1689706053

  3870709694

  Same PAC ID
• Orthopro of Twin Falls, Inc.

  • Prosthetic/Orthotic Supplier
  • Burley, ID
  • NPI 1861872269

  3870709694

  Same PAC ID

Tax ID family

Orthopro of Twin Falls Inc3 organizations share this tax ID, including this one

Part of

Orthopro of Twin Falls Inc

Other organizations with this tax ID 2

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

• Orthopro of Twin Falls, Inc

  • Prosthetics Case Management
  • Twin Falls, ID
  • NPI 1689706053
  NPD tax ID
• Orthopro of Twin Falls, Inc.

  • Prosthetic/Orthotic Supplier
  • Burley, ID
  • NPI 1861872269
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1194535682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 PARK VIEW DR STE 200",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013250",
            "telephone_number": "208-733-0505",
            "fax_number": "208-734-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 S 15TH E STE 100",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048262",
            "telephone_number": "208-878-0501",
            "fax_number": "208-734-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPRO OF TWIN FALLS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPRO OF TWIN FALLS, INC.",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-733-0505"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange LLC.
• Orange, LLC
• Orbit Medical of Idaho Falls Inc
• Steven Orme, LCSW
• Stephanie Ann Orr, FNP-C
• Taylor Orton, MD
• Mark Lowell Osadchey, R.P.T.
• Lacey Day Osgood, MOTR/L
• Joseph C. Ostendorf, M.S., CCC/SLP
• Mary Beth Ostrom, M.D.

• Prosthetic/Orthotic Supplier in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Prosthetic/Orthotic Supplier in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.