Specialized Orthotic Systems

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2008-000563820 Issued in WY

Legal business name

SPECIALIZED ORTHOTIC SYSTEMS

Doing business as

SOS Bracing

Practice address

4812 Crane CT
Frederick, CO 80504-5552

Phone

(303) 485-9758

NPI assigned

Sep 10, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Diana L Stobbe

Title

President

Phone

(303) 485-9758

Specialties & licenses 1

Addresses

Other names 1

• SOS Bracing Doing business as

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1912230855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 CRANE CT",
            "city": "FREDERICK",
            "state": "CO",
            "postal_code": "805045552",
            "telephone_number": "303-485-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 CRANE CT",
            "city": "FREDERICK",
            "state": "CO",
            "postal_code": "805045552",
            "telephone_number": "303-485-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED ORTHOTIC SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "STOBBE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-485-9758",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WY",
            "license": "2008-000563820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOS Bracing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Frederick, CO
• Providers in Frederick, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.