NPI age
19 years
Enumerated 2007-04-24
● Active Type 2 · Organization
Clearwater Orthotics And Prosthetics, Llc
Clearwater Orthotics And Prosthetics, Llc 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
Hale
Office Manager
Last NPPES update
2011-12-01
Source: monthly bulk 2026-05
How this organization compares
Across 48 active prosthetic/orthotic supplier providers in Idaho.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
801 Bryden Ave
Lewiston, ID 835014927
Mailing address
Po Box 2620
Hayden, ID 838352620
Authorized official
Karen Hale
Office Manager
📞 8183575732
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Joseph Thornton, LMPO Prosthetist NPI 1013136407
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805399000 | |
| 05 (WA) | 9047259 | |
| 01 (ID) | 000010028073 | REGENCE BLUE SHIELD OF ID |
| 01 (WA) | 135273 | L&I |
| 01 (ID) | 8M820 | BLUE CROSS OF IDAHO |
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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