PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC NPI 1962541912

NPI Information

  • NPI: 1962541912
  • Provider Name: PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Doing Business As: EVERGREEN PROSTHETICS AND ORTHOTICS
  • Address: 1901 S CEDAR ST STE 202
    TACOMA, WA
    ZIP 98405
  • Phone: (253) 572-1282

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NPI Details

PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC is a prosthetic orthotic supplier in Tacoma, WA. 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. PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC NPI is 1962541912. 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:

1901 S CEDAR ST STE 202
TACOMA, WA
ZIP 98405-303
Phone: (253) 572-1282
Fax: (253) 572-1175

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

The enumeration date for this NPI number is 2/6/2007 and was last updated on 7/23/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11962541912MEDICAIDWASHINGTON

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: 3/30/2025

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