Orthopro of Twin Falls, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

DME236 Issued in ID

Legal business name

ORTHOPRO OF TWIN FALLS, INC.

Practice address

1600 Overland Ave Ste C
Burley, ID 83318-2434

Phone

(877) 733-0505

NPI assigned

Jun 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Michael Scott Johnson, CPO

Title

Owner

Phone

(208) 733-0505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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).

• Orthopro of Twin Falls, Inc

  • Prosthetics Case Management
  • Twin Falls, ID
  • NPI 1689706053

  3870709694

  Same PAC ID
• Orthopro of Twin Falls, Inc.

  • Prosthetic/Orthotic Supplier
  • Idaho Falls, ID
  • NPI 1194535682

  3870709694

  Same PAC ID

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

Tax ID family

Orthopro of Twin Falls Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Orthopro of Twin Falls, Inc

  • Prosthetics Case Management
  • Twin Falls, ID
  • NPI 1689706053
  NPD tax ID
• Orthopro of Twin Falls, Inc.

  • Prosthetic/Orthotic Supplier
  • Idaho Falls, ID
  • NPI 1194535682
  NPD tax ID

Locations

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1861872269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 PARK VIEW DR STE 200",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014167",
            "telephone_number": "208-733-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 OVERLAND AVE STE C",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182434",
            "telephone_number": "877-733-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPRO OF TWIN FALLS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-733-0505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "ID",
            "license": "DME236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jason Oneal Parkinson, D.O.
• Pathways, Inc

• Prosthetic/Orthotic Supplier in Burley, ID
• Providers in Burley, 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 Jan 7, 2021; 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.