NPIMap

Organization Active NPI

Cpo Services, Inc

Doing business as Comprehensive Prosthetics and Orthotics

  • Orthotist
  • Peru, IL
National Provider Identifier
1578890976
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
213-000118 Issued in IL
Legal business name
CPO SERVICES, INC
Doing business as
Comprehensive Prosthetics and Orthotics
Practice address
2011 Rock St
Suite D2
Peru, IL 61354
Phone
(888) 676-2276
NPI assigned
Nov 6, 2009
Last updated
Jul 30, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
CPO SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Mr. Donald Goertzen, CPO
Title
President
Phone
(309) 676-2276

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X 213-000118 IL Primary
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X 213-000118 IL
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

2011 Rock St
Suite D2
Peru, IL 61354

Mailing address

416 NE Saint Mark CT
Suite 310
Peoria, IL 61603-3742
Phone (309) 676-2276

Other names 1

  • COMPREHENSIVE PROSTHETICS AND ORTHOTICS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cpo Services Inc14 organizations share this tax ID, including this one
Part of
Cpo Services Inc

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

416 NE Saint Mark Ct
Ste 310
Peoria, IL 61603
Phone (309) 673-4471

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1578890976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 NE SAINT MARK CT",
            "address_2": "SUITE 310",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033742",
            "telephone_number": "309-676-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 ROCK ST",
            "address_2": "SUITE D2",
            "city": "PERU",
            "state": "IL",
            "postal_code": "61354",
            "telephone_number": "888-676-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPO SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CPO SERVICES, INC",
        "enumeration_date": "2009-11-06",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "GOERTZEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-676-2276",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "IL",
            "license": "213-000118",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "IL",
            "license": "213-000118",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPREHENSIVE PROSTHETICS AND ORTHOTICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMPREHENSIVE PROSTHETICS AND ORTHOTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peru, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.