Orthotic Prosthetic Solutions, L.L.C.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHOTIC PROSTHETIC SOLUTIONS, L.L.C.

Practice address

1012 W 36TH St Ste 5
Scottsbluff, NE 69361-5008

Phone

(308) 863-2255

NPI assigned

Aug 3, 2012

Last updated

Jun 25, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

ORTHOTIC PROSTHETIC SOLUTIONS, L.L.C.As reported in NPPES

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

Authorized official

Name

Brendan Jason Riley

Title

Controller

Phone

(970) 484-8388

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

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).

• Orthotic Prosthetic Solutions, L.L.C.

  • Prosthetic/Orthotic Supplier
  • Longmont, CO
  • NPI 1962518704

  6204042559

  Same PAC ID
• Orthotic Prosthetic Solutions, LLC

  dba Orthotic Prosthetic Solutions

  • Prosthetic/Orthotic Supplier
  • Fort Collins, CO
  • NPI 1043208812

  6204042559

  Same PAC ID

Part of

Orthotic Prosthetic Solutions LLC

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.

• Orthotic & Prosthetic Solutions, Inc

  • Medical Specialty Clinic/Center
  • Lincoln, NE
  • NPI 1487772737
  NPPES parent name

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1710233143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 ROBERTSON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243926",
            "telephone_number": "970-484-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W 36TH ST STE 5",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693615008",
            "telephone_number": "308-863-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC PROSTHETIC SOLUTIONS, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOTIC PROSTHETIC SOLUTIONS, L.L.C.",
        "enumeration_date": "2012-08-03",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "970-484-8388"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13631730",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Prosthetic/Orthotic Supplier in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.