NPI age
19 years
Enumerated 2006-07-31
● Active Type 2 · Organization
Kormylo Orthopedic Inc
Kormylo Orthopedic 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
Kormylo
President - Owner
Last NPPES update
2010-03-16
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 · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
175 N Benjamin Ln
Boise, ID 837048328
Mailing address
175 N Benjamin Ln
Boise, ID 837048328
Authorized official
Markus A Kormylo, C.P.O.
President - Owner
📞 2083774024
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) | 8069839 |
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.