Certified Prosthetics Orthotics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CERTIFIED PROSTHETICS ORTHOTICS, LLC

Practice address

1620 25TH Ave
Suite a
Greeley, CO 80634-4956

Phone

(970) 356-2123

Fax

(970) 352-4943

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Casey J Bradshaw

Title

Manager

Phone

(970) 356-2123

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1306041306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 25TH AVE",
            "address_2": "STE A.",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344956",
            "telephone_number": "970-356-2123",
            "fax_number": "970-352-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 25TH AVE",
            "address_2": "SUITE A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344956",
            "telephone_number": "970-356-2123",
            "fax_number": "970-352-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED PROSTHETICS ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-356-2123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76431738",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Autism & Related Disorders, LLC
• Centerra Orthodontics
• Centerrra Orthodontics
• Kristin Ann Ceriani, PT, DPT
• Certified Prosthetics & Orthotics, LLC
• Felix Moises Cervantes Rodriguez, MT
• Viviana Cervantes-Lopez
• Nancy Abigail Cervantes
• Victoria Cervi, MSW
• Ana Cespedes

• Prosthetic/Orthotic Supplier in Greeley, CO
• Providers in Greeley, CO by specialty
• Prosthetic/Orthotic Supplier in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.