Preferred Orthotic and Prosthetic Services Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC

Doing business as

Evergreen Prosthetics and Orthotics

Practice address

1229 Madison St Ste 1460
Seattle, WA 98104-4303

Phone

(206) 328-4276

Fax

(206) 328-1037

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By 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

Timothy L O'NeillNPI 1700400249

Title

President

Phone

(503) 407-5408

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Prosthetics and Orthotics Doing business as

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.

• Timothy L O'Neill, CPO

  • Prosthetist
  • Beaverton, OR
  • NPI 1700400249
  Authorized official Same address or phone

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1366356784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MAIN ST STE 100",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451853",
            "telephone_number": "503-765-5081",
            "fax_number": "971-316-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST STE 1460",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981044303",
            "telephone_number": "206-328-4276",
            "fax_number": "206-328-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-407-5408"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lori Kaye Predmore, PT
• Pedro Jose Prellwitz Lima, M.D
• Shruti Prem, M.D.
• Premere Rehab LLC (Infinity Rehab)
• Premere Rehab LLC (Infinity Rehab)
• Premere Rehab, LLC (Aegis on Madison)

• Prosthetic/Orthotic Supplier in Seattle, WA
• Providers in Seattle, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.