Prosthetic Orthotic Specialist Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIC ORTHOTIC SPECIALIST INC

Practice address

3030 N Woodford St
Decatur, IL 62526

Phone

(217) 872-6150

Fax

(217) 872-6152

NPI assigned

Aug 6, 2009

Last updated

Jul 30, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

PROSTHETIC ORTHOTIC SPECIALIST INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Donald Goertzen, CPO

Title

President

Phone

(309) 676-2276

Specialties & licenses 1

Addresses

Part of

Prosthetic Orthotic Spec

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Cpo Services, Inc

  dba Comprehensive Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Quincy, IL
  • NPI 1295062594

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Prosthetic Orthotic Specialist Inc

  • Prosthetic/Orthotic Supplier
  • Peoria, IL
  • NPI 1851389449
  NPPES parent name

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1710118864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 W MAIN ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061953",
            "telephone_number": "800-334-5705",
            "fax_number": "888-663-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N WOODFORD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62526",
            "telephone_number": "217-872-6150",
            "fax_number": "217-872-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC ORTHOTIC SPECIALIST INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROSTHETIC ORTHOTIC SPECIALIST INC",
        "enumeration_date": "2009-08-06",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "GOERTZEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-676-2276",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prevention and Treatment Services of Decatur Inc
• Aarhianna Primm
• Priority Health Family Medicine LLC
• Kathleen Ann Pritchett, PA
• Progressive Family Health
• Jennifer Pugh
• Deborah L Pulliam, APRN, CNP
• Tracy Pulliam, LCSW
• Miranda Pygott
• Nathan Pyle, D.O.

• Prosthetic/Orthotic Supplier in Decatur, IL
• Providers in Decatur, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.