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COLORADO ORTHOTIC AND PROSTHETIC SERVICES LLC NPI 1861492621


NPI Information

NPI: 1861492621
Provider Name: COLORADO ORTHOTIC AND PROSTHETIC SERVICES, LLC

Doing Business As: EVERGREEN PROSTHETICS AND ORTHOTICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
255 UNION BLVD STE 470
LAKEWOOD, CO
ZIP 80228
Phone: (720) 685-6520
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COLORADO ORTHOTIC AND PROSTHETIC SERVICES, LLC is a prosthetic orthotic supplier in Lakewood, 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. COLORADO ORTHOTIC AND PROSTHETIC SERVICES, LLC NPI is 1861492621. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Prosthetics And Orthotics.

The provider's business location address is:

255 UNION BLVD STE 470
LAKEWOOD, CO
ZIP 80228-833
Phone: (720) 685-6520
Fax: (720) 500-3834

The provider's authorized official is Timothy L O'neill .
The authorized official title is President and has the following contact phone number (503) 407-5408.

The enumeration date for this NPI number is 7/22/2005 and was last updated on 3/1/2022.


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
1332B00000XDurable Medical Equipment & Medical SuppliesCOLORADONo
2335E00000XProsthetic/Orthotic SupplierCOLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
167632751MEDICAIDCOLORADO

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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