Spectrum Prosthetics and Orthotics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SPECTRUM PROSTHETICS AND ORTHOTICS INC

Practice address

300 Union Ave
Suite C
Grants Pass, OR 97527-5861

Phone

(541) 955-9678

Fax

(541) 471-4909

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Forest Ray Sexton, CPO

Title

President

Phone

(541) 955-9678

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1447329610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 UNION AVE",
            "address_2": "SUITE C",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275861",
            "telephone_number": "541-955-9678",
            "fax_number": "541-471-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UNION AVE",
            "address_2": "SUITE C",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275861",
            "telephone_number": "541-955-9678",
            "fax_number": "541-471-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PROSTHETICS AND ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "FOREST",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-955-9678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158752",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Oregon Psychological Services LLC
• Southern Oregon Respiratory Testing LLC
• Sean Souza
• Lynda Spangler, MSW, LCSW
• Trista Karen Sparlin, LPC
• Spectrum Prosthetics and Orthotics, LLC
• Megan Spellman, M.S. SLP
• Christina Spencer
• Niklaus Arthur Spendlove, DMD
• Charlotte Anna Sperisen, L.M.T.

• Prosthetic/Orthotic Supplier in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Prosthetic/Orthotic Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.