Valley Orthotic Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

600550953 Issued in WA

Legal business name

VALLEY ORTHOTIC INC.

Doing business as

Valley Orthopedic, Inc

Practice address

11412 E. Sprague Ave
Spokane Valley, WA 99206-5224

Phone

(509) 922-5040

Fax

(509) 922-5041

NPI assigned

Feb 25, 2007

Last updated

Mar 31, 2011By 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

Kenneth Alan Mandler, L.C.O. CERTIFIED ORT

Title

Owner

Phone

(509) 922-5040

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Valley Orthopedic, Inc Doing business as

Locations

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1538295654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 E. SPRAGUE AVE.",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065224",
            "telephone_number": "509-922-5040",
            "fax_number": "509-922-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 E. SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065224",
            "telephone_number": "509-922-5040",
            "fax_number": "509-922-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ORTHOTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "MANDLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-922-5040",
        "authorized_official_credential": "L.C.O. CERTIFIED ORT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": "600550953",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "600550953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9562901",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Orthopedic, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valley Massge Clinic
• Valley Mission Pharmacy
• Valley Neurology PLLC
• Valley Obstetrics and Gynecology PS
• Valley Orthopedic Clinic, P.S.
• Valley Outpatient Surgery Center LP
• Valley Young Peoples Clinic PS (Valley Young Peoples Clinic)
• Holly Alana Valley, OT
• Kelsie Leilani Vallies
• Bailey Vallone, LPN

• Prosthetic/Orthotic Supplier in Spokane Valley, WA
• Providers in Spokane Valley, 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 Mar 31, 2011; 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.