MEDICARE: ORTHOPEDIC REHABILITATION PRODUCTS

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0800660001	OTHER		PALMETTO GBA

General Provider Information

NPI Number	:	1912902255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC REHABILITATION PRODUCTS

Provider Business Mailing Address
First Line	:	PO BOX 440956
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80044-0956
Country	:	US
Telephone Number	:	720-524-0950
Fax Number	:	720-524-0383

Provider Business Practice Location Address
First Line	:	5895 E EVANS AVE
Second Line	:	STE 102
City	:	DENVER
State	:	CO
Zip	:	80222-5340
Country	:	US
Telephone Number	:	720-524-0950
Fax Number	:	720-524-0383

Authorized Official
Title or Position	:	DIRECTOR OF REIMBURSEMENT
Name	:	MS. SHERYL S PRICE
Credential	:
Telephone Number	:	503-493-8288

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	01/22/2009

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