Lizotte P & O Associates LLC

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

0I00000335 Issued in WA

Legal business name

LIZOTTE P & O ASSOCIATES LLC

Doing business as

Washington Orthotics & Prosthetics

Practice address

1902 S Cedar St
Tacoma, WA 98405-2301

Phone

(253) 761-9255

Fax

(253) 752-7829

NPI assigned

Dec 30, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Thomas William Lizotte Jr., LCPONPI 1770775868

Title

Owner/ Lcpo

Phone

(253) 761-9255

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Washington Orthotics & Prosthetics Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Lizotte P&O Associates LLC

  • Prosthetic/Orthotic Supplier
  • Lakewood, WA
  • NPI 1063780377

  7618173295

  Same PAC ID

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

Tax ID family

Lizotte PO Associates 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.

• Lizotte P&O Associates LLC

  • Prosthetic/Orthotic Supplier
  • Lakewood, WA
  • NPI 1063780377
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas W Lizotte Jr., CPO

  • Prosthetist
  • Tacoma, WA
  • NPI 1770775868

  Orthotist

  NPD Authorized official
• Nathan Dooley, CPO

  • Orthotist
  • Seattle, WA
  • NPI 1821530890
  NPD (past)

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1275779993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 S CEDAR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052301",
            "telephone_number": "253-761-9255",
            "fax_number": "253-752-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 S CEDAR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052301",
            "telephone_number": "253-761-9255",
            "fax_number": "253-752-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZOTTE P & O ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "LIZOTTE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/ LCPO",
        "authorized_official_telephone_number": "253-761-9255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "0I00000335",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "602765858",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9036963",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9061912",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Katherine Livolsi, SWEDISH CERTIFICATE
• Courtney Anne Livoti, OTR/L
• Kokmaduwe Palitha Liyanage, B.A.
• Liz'S Adult Counseling LLC
• Joaquin Aldair Lizaola, PA-C
• Thomas W Lizotte Jr., CPO
• Darla Llamas, LP00057026
• LLC Courage 2B
• Jorge L Llera, MD
• Charles M. Llewellyn, MD

• Prosthetist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Prosthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.