NPI age
18 years
Enumerated 2007-11-21
● Active Type 2 · Organization
Orthopro Of Lewiston Inc
Orthopro Of Lewiston Inc is 1 of 48 prosthetic/orthotic supplier organizations in Idaho.
Primary specialty
Prosthetic/Orthotic Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Black
Owner
Last NPPES update
2016-09-27
Source: monthly bulk 2026-05
How this organization compares
Across 48 active prosthetic/orthotic supplier providers in Idaho.
NPI age
18 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-11Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
823 16th Ave
Lewiston, ID 835013733
Mailing address
823 16th Ave
Lewiston, ID 835013733
Authorized official
Marshall R Black, CPO
Owner
📞 2087980200
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Marshall Black, CPO Orthotist NPI 1154357242
Specialties
-
Prosthetic/Orthotic Supplier PrimaryAn 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...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.