Active NPI
Seattle Orthotics and Prosthetics, LLC
- Prosthetic/Orthotic Supplier
- Mountlake Terrace, WA
National Provider Identifier
1619305190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- SEATTLE ORTHOTICS AND PROSTHETICS, LLC
- Practice address
- 6405 218TH St SW
Suite 304
Mountlake Terrace, WA 98043-2180 - Phone
- (425) 640-2004
- Fax
- (206) 299-9445
- NPI assigned
- Oct 21, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wayne K Daly, C.P.O., L.P.O., F.A.
- Title
- Research Prosthetist
- Phone
- (425) 640-2004
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Amputee Clinic/Center | 261QA0900X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
6405 218TH St SW
Suite 304
Mountlake Terrace, WA 98043-2180
Mailing address
6405 218TH St SW
Suite 304
Mountlake Terrace, WA 98043-2180
Phone (425) 640-2004
National Provider Directory
National Provider DirectoryLocations
120 14th Ave SE
Ste C
Puyallup, WA 98372
Phone (253) 435-5200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392249600000",
"number": "1619305190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 218TH ST SW",
"address_2": "SUITE 304",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432180",
"telephone_number": "425-640-2004",
"fax_number": "206-299-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 218TH ST SW",
"address_2": "SUITE 304",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432180",
"telephone_number": "425-640-2004",
"fax_number": "206-299-9445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEATTLE ORTHOTICS AND PROSTHETICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-21",
"last_updated": "2014-02-13",
"status": "A",
"authorized_official_last_name": "DALY",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "RESEARCH PROSTHETIST",
"authorized_official_telephone_number": "425-640-2004",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.P.O., L.P.O., F.A."
},
"taxonomies": [
{
"code": "261QA0900X",
"taxonomy_group": "",
"desc": "Clinic/Center, Amputee",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.