Elevation Prosthetics and Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ELEVATION PROSTHETICS AND ORTHOTICS, INC.

Practice address

106 N Sunrise Ave Ste C8
Roseville, CA 95661-2914

Phone

(916) 297-7853

NPI assigned

Oct 19, 2018

Organization subpart

No

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

Authorized official

Name

Michael Carlson, CPONPI 1902084239

Title

President

Phone

(916) 297-7853

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael F Carlson, CPO

  • Prosthetist
  • Roseville, CA
  • NPI 1902084239
  NPD Authorized official
• Nimrta Rathor, CFO

  • Orthotic Fitter
  • Roseville, CA
  • NPI 1457159428
  NPD (past)
• Kristen Sadinski, CFO

  • Orthotic Fitter
  • Roseville, CA
  • NPI 1821782640
  NPD (past)

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1821564501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N SUNRISE AVE STE C8",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N SUNRISE AVE STE C8",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612914",
            "telephone_number": "916-297-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION PROSTHETICS AND ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-297-7853",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902084239",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desalegn Ejigu
• Elizabeth I Ekpo, M.D.
• Nastassja El-Sayed, MOT, OTR
• Jessica R Elack, RADT
• Mostafa Eldin
• Chris Simon Elias, NMT,CPT,SNS
• Erinn Anne Eliason, DNP-NA, CRNA
• Elite Medical Technologies, LLC
• Diana Denise Ellering, CMT
• Charles Elliot, PHARMD

• All providers in Roseville, CA
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.