Active NPI
Orthotic Prosthetic Solutions, L.L.C.
- Prosthetic/Orthotic Supplier
- Longmont, CO
National Provider Identifier
1962518704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ORTHOTIC PROSTHETIC SOLUTIONS, L.L.C.
- Practice address
- 1446 Hover St
Longmont, CO 80501-2485 - Phone
- (720) 652-0100
- Fax
- (720) 652-0202
- NPI assigned
- Aug 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brendan Jason Riley
- Title
- Owner
- Phone
- (970) 484-8388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1446 Hover St
Longmont, CO 80501-2485
Mailing address
1446 Hover Road
Longmont, CO 80501
Phone (720) 652-0100
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13631730 | Medicaid | CO | |
| 200004560A | Medicaid | KS | |
| 200023800A | Medicaid | OK | |
| 79605061 | Medicaid | NM | |
| 100250483-00 | Medicaid | NE | |
| 119226401 | Medicaid | WY | |
| 0571356 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930062015 | CO | DME Supplier - Prosthetic Personnel | 6204042559 | Practice locations: Longmont, CO |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Fort Collins, CO
- NPI 1043208812
6204042559
-
- Prosthetic/Orthotic Supplier
- Scottsbluff, NE
- NPI 1710233143
6204042559
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Orthotic Prosthetic Solutions, L.L. | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Orthotic Prosthetic Solutions LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Westminster, CO
- NPI 1902283146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719273600000",
"number": "1962518704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1446 HOVER ROAD",
"city": "LONGMONT",
"state": "CO",
"postal_code": "80501",
"telephone_number": "720-652-0100",
"fax_number": "720-652-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1446 HOVER ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805012485",
"telephone_number": "720-652-0100",
"fax_number": "720-652-0202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOTIC PROSTHETIC SOLUTIONS, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"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": "OWNER",
"authorized_official_telephone_number": "970-484-8388"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13631730",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200004560A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200023800A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79605061",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100250483-00",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119226401",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0571356",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- 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.
- 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.