Active NPI
Master'S Orthotics and Prosthetics, LLC
- Prosthetic/Orthotic Supplier
- Silverdale, WA
National Provider Identifier
1235149659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- MASTER'S ORTHOTICS AND PROSTHETICS, LLC
- Practice address
- 9975 Mickelberry Rd NW
Silverdale, WA 98383-9195 - Phone
- (360) 307-7005
- Fax
- (360) 698-1984
- NPI assigned
- Aug 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leisa Serra-Walsh
- Title
- Office Manager
- Phone
- (360) 307-7005
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
9975 Mickelberry Rd NW
Silverdale, WA 98383-9195
Mailing address
9975 Mickelberry Rd NW
Silverdale, WA 98383-9195
Phone (360) 307-7005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9054172 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930081300 | WA | DME Supplier - Orthotic Personnel | 8426264508 | Practice locations: Silverdale, WA |
National Provider Directory
National Provider Directory- Tax ID family
- Master'S Orthotics and Prosthetics LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Silverdale, WA
- NPI 1659571081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782864000000",
"number": "1235149659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9975 MICKELBERRY RD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983839195",
"telephone_number": "360-307-7005",
"fax_number": "360-698-1984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9975 MICKELBERRY RD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983839195",
"telephone_number": "360-307-7005",
"fax_number": "360-698-1984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASTER'S ORTHOTICS AND PROSTHETICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A",
"authorized_official_last_name": "SERRA-WALSH",
"authorized_official_first_name": "LEISA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "360-307-7005"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9054172",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.