Todd Michael Westlake, CPO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

CPO 1904 Issued in MN

Practice address

606 24TH Ave S
Suite 301
Minneapolis, MN 55454-1455

Phone

(612) 672-6653

Fax

(612) 672-4780

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Westlake Orthotics and Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Saint Paul, MN
  • NPI 1104163187

  Orthotist

  NPD Authorized official
• Fairview Health Services

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1811077175
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1467673715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22990 FAWN TRL",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553748740",
            "telephone_number": "763-428-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 24TH AVE S",
            "address_2": "SUITE 301",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541455",
            "telephone_number": "612-672-6653",
            "fax_number": "612-672-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTLAKE",
        "first_name": "TODD",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "MN",
            "license": "CPO 1904",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "MN",
            "license": "CPO 1904",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAIRVIEW HEATH SERVICES #",
            "identifier": "077842",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Westerback, AUD
• Kristie Westerbeck, DC
• Christopher Jay Westergaard, MSW, LGSW
• Eleanor Monika Westfall
• Anne M Westgard, BA, MSN
• Abbie Nistler Westlund, DO
• Martha Rose Westman, AUD
• Nancy Westman, APRN, CNP
• Paul Westmark, LP
• Erin Christine Westmeyer, D.D.S

• Orthotist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Orthotist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.