NPI age
6 years
Enumerated 2020-01-28
● Active Type 2 · Organization
Evergreen Prosthetics And Orthotics, Llc
Evergreen Prosthetics And Orthotics, 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
O'Neill
President
Last NPPES update
2023-11-22
Source: monthly bulk 2026-05
How this organization compares
Across 48 active prosthetic/orthotic supplier providers in Idaho.
NPI age
6 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-01Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1500 E Heritage Park St Ste 100
Meridian, ID 836465884
Mailing address
911 Main St Ste 100
Oregon City, OR 970451853
Authorized official
Timothy L O'Neill, CPO
President
📞 5034075408
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
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.