Clearwater Orthotics & Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CLEARWATER ORTHOTICS & PROSTHETICS

Practice address

801 Bryden Ave
Lewiston, ID 83501-4927

Phone

(818) 357-5732

Fax

(818) 357-5732

NPI assigned

Aug 9, 2006

Last updated

Oct 11, 2011By 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

Mrs. Karen Hale

Title

Business Office Manager

Phone

(818) 357-5732

Specialties & licenses 1

Addresses

Other identifiers 5

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.

• Joseph Thornton, LMPO

  • Prosthetist
  • Lewiston, ID
  • NPI 1013136407
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1699786525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2620",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838352620",
            "telephone_number": "818-357-5732",
            "fax_number": "818-357-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BRYDEN AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014927",
            "telephone_number": "818-357-5732",
            "fax_number": "818-357-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "818-357-5732",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010028073",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805399000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "8M820",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9047259",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "135273",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clearwater Gastroenterology
• Clearwater Medical Center PLLC (Clearwater Medical Clinic)
• Clearwater Neurosciences PLLC
• Clearwater Neurosurgery & Spinal Surgery Associates PLLC
• Clearwater Operations, LLC (Life Care Center of Lewiston)
• Clearwater Orthotics and Prosthetics, LLC
• Clearwater Valley Optical
• Clearwater Vein Care Center PC
• Carrie Ann Coen, PT
• Chuck R Colas, DO

• Prosthetic/Orthotic Supplier in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Prosthetic/Orthotic Supplier in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.