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PERFORMANCE ORTHOTICS & PROSTHETICS INC. NPI 1811305055


NPI Information

NPI: 1811305055
Provider Name: PERFORMANCE ORTHOTICS & PROSTHETICS, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
729 FORTINO BLVD STE A
PUEBLO, CO
ZIP 81008
Phone: (719) 425-6007
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PERFORMANCE ORTHOTICS & PROSTHETICS, INC. is a prosthetic orthotic supplier in Pueblo, CO. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. PERFORMANCE ORTHOTICS & PROSTHETICS, INC. NPI is 1811305055. The provider is registered as an organization entity type.

The provider's business location address is:

729 FORTINO BLVD STE A
PUEBLO, CO
ZIP 81008-089
Phone: (719) 425-6007

The provider's authorized official is Elizabeth Bush .
The authorized official title is President and has the following contact phone number (719) 425-6007.

The enumeration date for this NPI number is 7/31/2014 and was last updated on 7/31/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2335E00000XProsthetic/Orthotic SupplierCOLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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