NPI age
19 years
Enumerated 2007-01-26
● Active Type 2 · Organization
Idaho Orthotic Prosthetic Services, Inc
Idaho Orthotic Prosthetic Services, 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
Morrison
Contract Specialist
Last NPPES update
2020-06-30
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
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
425 S Whitley Dr Ste 431
Fruitland, ID 836192611
Mailing address
8880 Sw Nimbus Ave Ste A
Beaverton, OR 970087111
Authorized official
Diana K Morrison
Contract Specialist
📞 5037655081
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 |
|---|---|---|
| 01 (ID) | 000010148826 | BLUE SHIELD IDAHO |
| 01 (ID) | 8K537 | TRUE BLUE BLUE CROSS IDAH |
| 05 (ID) | 807031400 | |
| 05 (OR) | 277882 | |
| 01 (ID) | 8K537 | BLUE CROSS IDAHO |
Practice context
Single-site organization. Only one practice location on file.
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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.