MEDICARE: ORTHOTIC PROSTHETIC SOLUTIONS, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1043208812	OTHER	CO	CORPORTATE NPI

General Provider Information

NPI Number	:	1194095307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOTIC PROSTHETIC SOLUTIONS, L.L.C.

Provider Business Mailing Address
First Line	:	1015 ROBERTSON ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-3926
Country	:	US
Telephone Number	:	970-484-8388
Fax Number	:	970-419-8870

Provider Business Practice Location Address
First Line	:	7100 BROADWAY STE 2E
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-2918
Country	:	US
Telephone Number	:	303-316-2615
Fax Number	:	303-331-9019

Authorized Official
Title or Position	:	CONTROLLER
Name	:	AARON KRATOHVIL
Credential	:
Telephone Number	:	615-550-8760

Provider Enumeration Date	:	01/04/2012
Last Update Date	:	10/09/2017

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