Active NPI
Timothy John Obrien, C.P.O.
- Prosthetist
- Durango, CO
National Provider Identifier
1609803758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 1428
- Practice address
- 1 Mercado St
203
Durango, CO 81301-7300 - Phone
- (970) 259-9258
- Fax
- (970) 385-7262
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 1428 | IL | |
| Prosthetist | 224P00000X | 1428 | IL | Primary |
Addresses
Primary practice location
1 Mercado St
203
Durango, CO 81301-7300
Mailing address
1 Mercado St
203
Durango, CO 81301-7300
Phone (970) 259-9258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08002149 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1428 | IL | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1609803758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MERCADO ST",
"address_2": "203",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017300",
"telephone_number": "970-259-9258",
"fax_number": "970-385-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MERCADO ST",
"address_2": "203",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017300",
"telephone_number": "970-259-9258",
"fax_number": "970-385-7262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRIEN",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "C.P.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "IL",
"license": "1428",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "IL",
"license": "1428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08002149",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.