NPIMap

Organization Active NPI

Cornerstone Prosthetics and Orthotics, Inc

  • Prosthetic/Orthotic Supplier
  • Mount Vernon, WA
National Provider Identifier
1245384148
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
600596756 Issued in WA
Legal business name
CORNERSTONE PROSTHETICS AND ORTHOTICS, INC
Practice address
1520 Roosevelt Ave
Mount Vernon, WA 98273-2685
Phone
(360) 416-6505
Fax
(360) 416-8241
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
David J Hughes
Title
President
Phone
(425) 339-2559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 600596756 WA Primary

Addresses

Primary practice location

1520 Roosevelt Ave
Mount Vernon, WA 98273-2685

Mailing address

1300 44TH St SE
Everett, WA 98203-2200
Phone (425) 339-2559

Other identifiers 7

IdentifierTypeStateIssuer
9018516MedicaidWA
2005840MedicaidWA
CO9974OtherWAREGENCE - P & O
91118OtherWAL ABOR AND INDUSTRIES
9004717MedicaidWA
027038001OtherWAGROUP HEALTH - P & O
192166200OtherWAOWCP - P &O

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930037657 WA DME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic-Prosthetic 8628195187 Practice locations: Mount Vernon, WA

Other NPIs with the same Medicare PAC ID 6

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
Cornerstone Prosthetics and Orthoti1520 Roosevelt Ave, Mount Vernon, WA 98273-2639(360) 416-6505 Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Canes and/or Crutches|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Continuous Positive Airway Pressure (CPAP) Devices|Diabetic Shoes and Inser… Does not accept assignmentParticipating since Jan 1, 2019

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Prosthetics and Orthotics Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1245384148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 44TH ST SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032200",
            "telephone_number": "425-339-2559",
            "fax_number": "425-339-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 ROOSEVELT AVE",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732685",
            "telephone_number": "360-416-6505",
            "fax_number": "360-416-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PROSTHETICS AND ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-339-2559"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "600596756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9018516",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005840",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE - P & O",
            "identifier": "CO9974",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L ABOR AND INDUSTRIES",
            "identifier": "91118",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004717",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH - P & O",
            "identifier": "027038001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP - P &O",
            "identifier": "192166200",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.