Active NPI
Prosthetic & Orthotic Group of Northern Co., LLC
- Prosthetic/Orthotic Supplier
- Fort Collins, CO
National Provider Identifier
1700832227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- PROSTHETIC & ORTHOTIC GROUP OF NORTHERN CO., LLC
- Practice address
- 2290 E Prospect Rd
Suite 2
Fort Collins, CO 80525-9768 - Phone
- (970) 416-9357
- Fax
- (970) 416-9359
- NPI assigned
- May 26, 2006
- Last updated
- Sep 17, 2026
- 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
- Ivan Sabel
- Title
- Ceo
- Phone
- (562) 595-6445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
2290 E Prospect Rd
Suite 2
Fort Collins, CO 80525-9768
Mailing address
2290 E Prospect Rd Ste 2
Fort Collins, CO 80525-9768
Phone (970) 416-9357
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46150544 | Medicaid | CO | |
| 117338300 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930008203 | CO | DME Supplier - Prosthetic Personnel | 1759593510 | Practice locations: Fort Collins, CO |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Prosthetic & Orthotic Group | Neuromuscular Elect Stimulators (NMES)/Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Prosthetic Orthotic Group of Northern Co LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Loveland, CO
- NPI 1518289990
Locations
2290 E Prospect Rd
Ste 2
Fort Collins, CO 80525
Phone (970) 416-9357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1700832227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2290 E PROSPECT RD STE 2",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805259768",
"telephone_number": "970-416-9357",
"fax_number": "970-416-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 E PROSPECT RD",
"address_2": "SUITE 2",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805259768",
"telephone_number": "970-416-9357",
"fax_number": "970-416-9359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSTHETIC & ORTHOTIC GROUP OF NORTHERN CO., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A",
"authorized_official_last_name": "SABEL",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-595-6445"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46150544",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117338300",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
- Professional Pharmacy Services Inc. (Good Day Pharmacy)
- Professional Pharmacy Services, Inc. (Good Day Pharmacy)
- Professional Pharmacy Services, Inc. (Good Day Pharmacy)
- Professional Pharmacy Services, Inc. (Good Day Pharmacy)
- Promdix LLC
- Alyssa Proulx Bostrom
- Evan Proulx Bostrom
- David Andrew Prouty, MSW
- Marc A Provencher, O.D.
- Provision Imaging of Ft Collins
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.