Organization Active NPI

Master'S Orthotics and Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Silverdale, WA
National Provider Identifier
1235149659
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Jul 1, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9054172MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930081300 WA DME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Prosthetic Personnel 8426264508 Practice locations: Silverdale, WA

National Provider Directory

National Provider Directory
Tax ID family
Master'S Orthotics and Prosthetics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.