SPECTRUM ORTHOTICS & PROSTHETICS (SPECTRUM PROSTHETICS AND ORTHOTICS, LLC) NPI 1003020066

Prosthetic/Orthotic Supplier in Roseburg, OR

NPI 1003020066 Organization Prosthetic/Orthotic Supplier Medicare Supplier Does Not Accept Medicare Approved Payment

About SPECTRUM ORTHOTICS & PROSTHETICS (SPECTRUM PROSTHETICS AND ORTHOTICS, LLC)

Spectrum Orthotics & Prosthetics (spectrum Prosthetics And Orthotics, Llc) is a provider established in Roseburg, Oregon specializing in prosthetic/orthotic supplier. The NPI number of Spectrum Orthotics & Prosthetics (spectrum Prosthetics And Orthotics, Llc) is 1003020066 and was assigned on May 2007. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated September 2021. The provider's other name is Spectrum Orthotics & Prosthetics. The authorized official of this NPI record is Forest Sexton Cpo (Member)

Spectrum Orthotics & Prosthetics is a medicare supplier with PTAN 6531140002 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Off-The-Shelf or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Breast Prostheses and/or Accessories or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Custom Fabricated or Limb Prostheses.

NPI

1003020066

Provider NameSPECTRUM ORTHOTICS & PROSTHETICS (SPECTRUM PROSTHETICS AND ORTHOTICS, LLC)
Provider Location Address3369 NE STEPHENS ST STE 101 ROSEBURG, OR 97470
Provider Mailing Address300 UNION AVE STE C GRANTS PASS, OR 97527
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSPECTRUM ORTHOTICS & PROSTHETICS
Other Name TypeOther Name (5)
Enumeration Date05-09-2007
Last Update Date09-13-2021


Primary Taxonomy

Taxonomy Code335E00000X
ClassificationProsthetic/Orthotic Supplier
TypeSuppliers
Taxonomy DescriptionAn 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 physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Business Address

SPECTRUM ORTHOTICS & PROSTHETICS
3369 NE STEPHENS ST STE 101
ROSEBURG, OR
ZIP 97470
Phone: (541) 673-1275
Fax: (541) 471-4909

Get Directions


Mailing Address

SPECTRUM ORTHOTICS & PROSTHETICS
300 UNION AVE STE C
GRANTS PASS, OR
ZIP 97527
Phone: (541) 955-9678
Fax: (541) 471-4909



Authorized Official

Authorized Official Name FOREST SEXTON CPO
Authorized Official TitleMEMBER
Authorized Official Phone(541) 734-2435

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN6531140002
Accepts Medicare AssignmentNO
Specialities ListProsthetic Personnel, MSC With Orthotic Personnel, Orthotic Personnel, MSC With Prosthetic Personnel.
Provider Type ListMEDICAL SUPPLY COMPANY WITH PEDORTHIC PERSONNEL, PEDORTHIC PERSONNEL.
Supplies List
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
Competitive BiddingNO

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.