Prosthetic & Orthotic Group Pediatric Specialists - Colorado LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIC & ORTHOTIC GROUP PEDIATRIC SPECIALISTS - COLORADO LLC

Doing business as

OP Specialty Bracing

Practice address

13123 E 16TH Ave
Mail Box B060
Aurora, CO 80045-7106

Phone

(303) 400-8866

Fax

(970) 416-9359

NPI assigned

Dec 19, 2014

Last updated

Feb 25, 2025By 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

Thomas H Morrissey

Title

General Manager

Phone

(508) 588-6060

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OP Specialty Bracing Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These 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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Boston Brace International Inc.

  dba OP Specialty Bracing

  • Prosthetic/Orthotic Supplier
  • Davie, FL
  • NPI 1528243177

  Member Of

  NPD member

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Macy, CPO 02475

  • Prosthetist
  • East Lyme, CT
  • NPI 1184334385

  Orthotist

  NPD
• Corey L Pena, C.O.

  • Customized Equipment (DME)
  • Concord, NC
  • NPI 1093986531

  Orthotist

  NPD
• Manuel D. Gurule, PA-C

  • Medical Physician Assistant
  • Aurora, CO
  • NPI 1225125370
  NPD (past)
• Stephanie Watson Mayer, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Englewood, CO
  • NPI 1396919858
  NPD (past)

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1588062764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SHUMAN AVE",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723734",
            "telephone_number": "508-638-1172",
            "fax_number": "508-588-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13123 E 16TH AVE",
            "address_2": "MAIL BOX B060",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457106",
            "telephone_number": "303-400-8866",
            "fax_number": "970-416-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC & ORTHOTIC GROUP PEDIATRIC SPECIALISTS - COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "MORRISSEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "508-588-6060"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100265137-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OP Specialty Bracing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pronto Care LLC
• Propagate Hope Counseling, PLLC (Drop In MH)
• Elizabeth Donn Propst, CRNA
• Prosperous Pine Counseling LLC
• Renee Prosser
• Allison Proto, NP-C
• Marina S Protopopova, DDS
• Proud Walk Recovery Services LLC
• Richard Russell Provencial, CAS
• Providence Home Healthcare LLC

• Prosthetic/Orthotic Supplier in Aurora, CO
• Providers in Aurora, CO by specialty
• Prosthetic/Orthotic Supplier in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.