Organization Active NPI

Stuart Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Longview, WA
National Provider Identifier
1962762724
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
STUART ORTHOTICS LLC
Practice address
1555 3Rd Ave
Suite B
Longview, WA 98632-3266
Phone
(360) 577-3505
Fax
(360) 577-3509
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Mr. David Stuart, CONPI 1932429974
Title
Owner/President/Certified Orthotist
Phone
(360) 577-3505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1555 3Rd Ave
Suite B
Longview, WA 98632-3266

Mailing address

1555 3Rd Ave Ste B
Longview, WA 98632-3268
Phone (360) 577-3505

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1962762724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 3RD AVE STE B",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323268",
            "telephone_number": "360-577-3505",
            "fax_number": "360-577-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 3RD AVE",
            "address_2": "SUITE B",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323266",
            "telephone_number": "360-577-3505",
            "fax_number": "360-577-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/CERTIFIED ORTHOTIST",
        "authorized_official_telephone_number": "360-577-3505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.