Preferred Orthotic and Prosthetic Services Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC

Doing business as

Evergreen Prosthetics and Orthotics

Practice address

1901 S Cedar St Ste 202
Tacoma, WA 98405-2303

Phone

(253) 572-1282

Fax

(253) 572-1175

NPI assigned

Feb 6, 2007

Last updated

May 18, 2026By 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

Timothy L O'Neill, CPONPI 1700400249

Title

Owner

Phone

(503) 407-5408

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Evergreen Prosthetics and Orthotics Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

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).

• Preferred Orthotic and Prosthetic Services Inc

  dba Evergreen Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Federal Way, WA
  • NPI 1689713265

  1254451529

  Same PAC ID
• Preferred Orthotic and Prosthetic Services, Inc

  dba Evergreen Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Spokane, WA
  • NPI 1699317784

  1254451529

  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

Preferred Orthotic PR3 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.

• Preferred Orthotic and Prosthetic Services Inc

  dba Evergreen Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Federal Way, WA
  • NPI 1689713265
  NPD tax ID
• Preferred Orthotic and Prosthetic Services, Inc

  dba Evergreen Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Spokane, WA
  • NPI 1699317784
  NPD tax ID

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.

• Timothy L O'Neill, CPO

  • Prosthetist
  • Beaverton, OR
  • NPI 1700400249
  Authorized official Same address or phone

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1962541912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MAIN ST STE 100",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451853",
            "telephone_number": "503-765-5081",
            "fax_number": "971-316-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CEDAR ST STE 202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052303",
            "telephone_number": "253-572-1282",
            "fax_number": "253-572-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-407-5408",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962541912",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David V Pratt, M.D.
• Sarina Michelle Pratt
• Victoria Lind Pratt, PA-S
• Jennifer Christine Predmore, RN
• Preferred Orthotic and Prosthetic Services Inc (Evergreen Prosthetics and Orthotics)
• Sophie Christine Prellwitz, DMD
• Premere Rehab LLC (Infinity Rehab)
• Premier Elite Health LLC
• Christopher Premo, MD
• Gloranna E Premo

• Prosthetic/Orthotic Supplier in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.