Anacortes Prosthetics & Orthotics LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

OI00000342 Issued in WA

Legal business name

ANACORTES PROSTHETICS & ORTHOTICS LLC

Practice address

2801 Commercial Ave
Suite 5
Anacortes, WA 98221-2700

Phone

(360) 587-0055

Fax

(360) 587-0077

NPI assigned

May 21, 2015

Last updated

Feb 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Chase, LCPONPI 1154648012

Title

Prosthetist/ Orthotist

Phone

(360) 587-0055

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Chase, L/CPO

  • Prosthetist
  • Anacortes, WA
  • NPI 1154648012

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1912386046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 COMMERCIAL AVE",
            "address_2": "SUITE 5",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212700",
            "telephone_number": "360-587-0055",
            "fax_number": "360-587-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 COMMERCIAL AVE",
            "address_2": "SUITE 5",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212700",
            "telephone_number": "360-587-0055",
            "fax_number": "360-587-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANACORTES PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PROSTHETIST/ ORTHOTIST",
        "authorized_official_telephone_number": "360-587-0055",
        "authorized_official_credential": "LCPO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "PS00000351",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "OI00000342",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1154648012",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0342611",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2048222",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.