Organization Active NPI

Seattle Orthotics and Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Mountlake Terrace, WA
National Provider Identifier
1619305190
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Feb 13, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.