MEDICARE: UPLIFT CARE O&P

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	224P00000X	Prosthetist
2	225000000X	Orthotic Fitter

General Provider Information

NPI Number	:	1487500229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPLIFT CARE O&P

Provider Business Mailing Address
First Line	:	1489 DE ROSE WAY APT 106
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-4137
Country	:	US
Telephone Number	:	407-232-3436
Fax Number	:

Provider Business Practice Location Address
First Line	:	1489 DE ROSE WAY APT 106
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-4137
Country	:	US
Telephone Number	:	407-232-3436
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ELISEO PINILLA
Credential	:	CFO
Telephone Number	:	407-232-3436

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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Directions to “UPLIFT CARE O&P ” Practice Location

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