Prosthetic & Orthotic Group Central Colorado LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIC & ORTHOTIC GROUP CENTRAL COLORADO LLC

Practice address

28350 County Road 317 Unit 8
Buena Vista, CO 81211-9261

Phone

(720) 739-7266

NPI assigned

Aug 18, 2023

Organization subpart

Yes

Parent organization

HANGER INCAs reported in NPPES

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

Authorized official

Name

Grace Angeline

Title

Reg Comp Analyst II

Phone

(714) 961-2102

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1316720642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28350 COUNTY ROAD 317 UNIT 8",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812119261",
            "telephone_number": "720-739-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC & ORTHOTIC GROUP CENTRAL COLORADO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2023-08-18",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "REG COMP ANALYST II",
        "authorized_official_telephone_number": "714-961-2102"
    },
    "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": [],
    "endpoints": [],
    "other_names": []
}

• Abbey Lee Pikul, NP
• Poet's Glade
• Premier Home Care (Premier Outpatient Therapies)
• Premier Home Care Inc (Premier Therapies)
• Premier Home Care, Inc (Premier Therapies dba Premier Home Care Inc.)
• Katie Lynn Provorse
• Robert C. Provorse, D.D.S.
• Erin Kathleen Raterman, D.P.T
• Robert Ringwald
• Rocky Mountain Diabetes Solutions

• Prosthetic/Orthotic Supplier in Buena Vista, CO
• Providers in Buena Vista, 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 Apr 4, 2025; 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.