Active NPI
American Orthopedic & Prosthetics Inc.
Doing business as Evergreen Prosthetics and Orthotics, LLC
- Prosthetic/Orthotic Supplier
- Lafayette, IN
National Provider Identifier
1457359408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- AMERICAN ORTHOPEDIC & PROSTHETICS INC.
- Doing business as
- Evergreen Prosthetics and Orthotics, LLC
- Practice address
- 720 Farabee CT
Lafayette, IN 47905-5917 - Phone
- (765) 447-0111
- NPI assigned
- Jul 13, 2005
- Last updated
- Mar 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Martin Creighton, BOCPO CTPO
- Title
- President
- Phone
- (765) 447-0111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
720 Farabee CT
Lafayette, IN 47905-5917
Mailing address
720 Farabee CT
Lafayette, IN 47905-5917
Phone (765) 447-0111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100175540 | Medicaid | IN | |
| 000000097257 | Other | IN | BLUE CROSS BLUE SHIELD |
Other names 1
- Evergreen Prosthetics and Orthotics, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930000004 | IN | DME Supplier - Orthotic Personnel | 9133245715 | Practice locations: Lafayette, IN |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Evergreen Prosthetics & Orthotics | Neuromuscular Elect Stimulators (NMES)/Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Facial Prostheses|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
720 Farabee Ct
Lafayette, IN 47905
Phone (765) 447-0111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742169600000",
"number": "1457359408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 FARABEE CT",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055917",
"telephone_number": "765-447-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 FARABEE CT",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055917",
"telephone_number": "765-447-0111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN ORTHOPEDIC & PROSTHETICS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-13",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A",
"authorized_official_last_name": "CREIGHTON",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "765-447-0111",
"authorized_official_credential": "BOCPO CTPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100175540",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000097257",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Evergreen Prosthetics and Orthotics, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lafayette, IN
- Safiro Alvarado
- Sandy Amador, MA, BCBA
- Amedisys SP-in, L.L.C (Amedisys Home Health of Lafayette)
- American Health Network of Indiana, LLC
- American Health Network of Indiana, LLC
- American Oxygen &Medical Equipment, Inc. (Arcadia Home)
- Americare Ambulance Service of Lafayette, LLC (Americare Ambulance Service)
- Americare Medical Transport LLC
- Christopher Jon Amptmeyer
- Benjamin Thomas Anderson, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.