Certified Prosthetics & Orthotics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

042520280000 Issued in CO

Legal business name

CERTIFIED PROSTHETICS & ORTHOTICS, LLC

Practice address

1620 25TH Ave
Suite a
Greeley, CO 80634-4960

Phone

(970) 356-2123

Fax

(970) 352-4943

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By 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

Mr. Casey Joseph Bradshaw

Title

Owner

Phone

(303) 565-3485

Specialties & licenses 1

Addresses

Tax ID family

Certified Prosthetics Orthotics 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.

• Certified Prosthetics & Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Scottsbluff, NE
  • NPI 1235571811
  NPD tax ID

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.

• Cara Marie Wolfe, CPO

  • Prosthetist
  • Denver, CO
  • NPI 1326310749
  NPD (past)

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1326599812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 E LOWRY BLVD",
            "address_2": "SUITE 240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307196",
            "telephone_number": "303-565-3485",
            "fax_number": "303-532-5140"
        },
        {
            "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": "806344960",
            "telephone_number": "970-356-2123",
            "fax_number": "970-352-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED PROSTHETICS & ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-565-3485",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CO",
            "license": "042520280000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 19, 2016; 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.