Spectrum Prosthetics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SPECTRUM PROSTHETICS LLC

Doing business as

Spectrum Orthotics & Prosthetics

Practice address

1963 Thompson Rd
Coos Bay, OR 97420-2040

Phone

(541) 269-1773

Fax

(541) 269-2790

NPI assigned

Jan 11, 2007

Last updated

Sep 17, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

ORTHO DEV AMERICA CORPAs reported in NPPES

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

Authorized official

Name

Ivan Sabel

Title

Ceo

Phone

(541) 734-2435

Specialties & licenses 1

Addresses

Other names 1

• Spectrum Orthotics & Prosthetics Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1205986403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202040",
            "telephone_number": "541-269-1773",
            "fax_number": "541-269-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202040",
            "telephone_number": "541-269-1773",
            "fax_number": "541-269-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PROSTHETICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHO DEV AMERICA CORP",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "SABEL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-734-2435"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Physical Therapy LLC (John Breuer Rehab Services)
• Southwest Physical Therapy LLC (John Breuer Rehab Services)
• Rayshal Lee Spalding, RD
• Sparrow Audiology LLC
• Spectrum Orthotics & Prosthetics Inc
• Alex Michael Spencer, M.D.
• Erin Elizabeth Spier, LPC
• Tara Sprague, RD
• Stefanie St. Clair, MSW
• Shaneen Diane Stacer, PHD

• Prosthetic/Orthotic Supplier in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Prosthetic/Orthotic Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.