Orthopro of Twin Falls, Inc

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

ORTHOPRO OF TWIN FALLS, INC

Practice address

1437 Parkview Dr Ste 200
Twin Falls, ID 83301-4167

Phone

(208) 733-0505

Fax

(208) 735-2117

NPI assigned

Mar 12, 2007

Last updated

Jan 7, 2021By 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

Michael Scott JohnsonNPI 1992798375

Title

Owner/Cpo

Phone

(208) 733-0505

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Orthopro of Twin Falls, Inc.

  • Prosthetic/Orthotic Supplier
  • Idaho Falls, ID
  • NPI 1194535682

  3870709694

  Same PAC ID
• Orthopro of Twin Falls, Inc.

  • Prosthetic/Orthotic Supplier
  • Burley, ID
  • NPI 1861872269

  3870709694

  Same PAC ID

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

Tax ID family

Orthopro of Twin Falls Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Orthopro of Twin Falls, Inc.

  • Prosthetic/Orthotic Supplier
  • Idaho Falls, ID
  • NPI 1194535682
  NPD tax ID
• Orthopro of Twin Falls, Inc.

  • Prosthetic/Orthotic Supplier
  • Burley, ID
  • NPI 1861872269
  NPD tax ID

Locations

Practitioners 1

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.

• Michael Scott Johnson, C.P.O

  • Prosthetics Case Management
  • Twin Falls, ID
  • NPI 1992798375
  Authorized official Same address or phone

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1689706053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 PARKVIEW DR STE 200",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014167",
            "telephone_number": "208-733-0505",
            "fax_number": "208-735-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 PARKVIEW DR STE 200",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014167",
            "telephone_number": "208-733-0505",
            "fax_number": "208-735-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPRO OF TWIN FALLS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/CPO",
        "authorized_official_telephone_number": "208-733-0505"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806646900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optimization Psychological Services
• Mary Helen Ordway, LMSW
• Sonya Sue Orr, NP
• Jessica Orsland
• Jesus Ortega, CADC
• Adan Ortiz, PHARMD
• Shelly Marie Osborne, LCPC
• Melissa Dawn Osen, LCSW
• Shane Michael Osgood, ATC, CEAS
• Joseph Eldon Ostler, M.D., PH.D.

• Prosthetics Case Management in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Prosthetics Case Management in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.