Clearwater Orthotics and Prosthetics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CLEARWATER ORTHOTICS AND PROSTHETICS, LLC

Practice address

801 Bryden Ave
Lewiston, ID 83501-4927

Phone

(208) 798-4605

NPI assigned

Apr 24, 2007

Last updated

Dec 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Hale

Title

Office Manager

Phone

(818) 357-5732

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Thornton, LMPO

  • Prosthetist
  • Lewiston, ID
  • NPI 1013136407

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1285852004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2620",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838352620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BRYDEN AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014927",
            "telephone_number": "208-798-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER ORTHOTICS AND PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-357-5732"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clearwater Medical Center PLLC (Clearwater Medical Clinic)
• Clearwater Neurosciences PLLC
• Clearwater Neurosurgery & Spinal Surgery Associates PLLC
• Clearwater Operations, LLC (Life Care Center of Lewiston)
• Clearwater Orthotics & Prosthetics
• Clearwater Valley Optical
• Clearwater Vein Care Center PC
• Carrie Ann Coen, PT
• Chuck R Colas, DO
• Misti Collins, LMSW

• Prosthetic/Orthotic Supplier in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Prosthetic/Orthotic Supplier in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.