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PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHWEST, LLC
NPI 1053719633
Durable Medical Equipment & Medical Supplies in Spokane, WA

Active since December 12, 2014
911 W 5TH AVE, SPOKANE, WA 99204(509) 252-3373(509) 744-1229 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Orthotic And Prosthetic Services - Northwest, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHWEST, LLC (NPI 1053719633) is a healthcare organization registered as a durable medical equipment & medical supplies in Spokane, Washington and active in the NPI registry since December 2014. The organization lists Clint Hastings, Manager, as its authorized official.

NPPES Registry Identity

NPI1053719633
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHWEST, LLC
Location Address911 W 5TH AVESpokane, WA 99204-2901
Mailing AddressPo Box 947109Atlanta, GA 30394-7109 · (813) 367-2876 · Fax (813) 518-7659
Phone(509) 252-3373
Fax(509) 744-1229
Organization SubpartYes
Authorized OfficialClint HastingsManager · (509) 252-3373
Enumeration DateDecember 12, 2014
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1053719633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
911 W 5TH AVE, Spokane, WA 99204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Pediatric Orthotic And Prosthetic S carries, from the Medicare DMEPOS supplier directory.

Pediatric Orthotic And Prosthetic S

DMEPOS supplier · Spokane, WAOperated by Pediatric Orthotic And Prosthetic Services - Northwest, LLC.
✔

Accepts Medicare assignment

Pediatric Orthotic And Prosthetic S agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20520599
Medicare Participant SinceJuly 12, 2012
Supplier Location911 W 5th AveSpokane, WA 99204
Phone(509) 252-3373
Supplier Specialties
Medical Supply Company Other MSC With Orthotic Personnel MSC With Prosthetic Personnel MSC With Orthotic-Prosthetic Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Lymphedema Compression Treatment Items
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLINTON T HASTINGS L/CPO
Student in an Organized Health Care Education/Training Program
911 W 5TH AVE
SPOKANE, WA 99204
Spokane County (509) 252-3373
SHRINERS HOSPITALS FOR CHILDREN
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
911 W 5TH AVE
SPOKANE, WA 99204
Spokane County (509) 623-0422
MR. SHAWN SEMB LAT, ATC
Specialist/Technologist (Athletic Trainer)
911 W 5TH AVE
SPOKANE, WA 99204
Spokane County (509) 744-1233
RENEE LACH PT
Physical Therapist (Geriatrics)
911 W 5TH AVE
SPOKANE, WA 99204
Spokane County (509) 623-0460
DR. KASEE J HILDENBRAND PHD, ATC
Specialist/Technologist (Athletic Trainer)
911 W 5TH AVE
SPOKANE, WA 99204
Spokane County (509) 339-5526
NATHAN JAMES SHIMABUKURO L/CPO
Prosthetist
911 W 5TH AVE
SPOKANE, WA 99204
Spokane County (509) 252-3373
GLEN OLSEN BAIRD M.D.
Orthopaedic Surgery
911 W 5TH AVE
SPOKANE, WA 99204
Spokane County (509) 623-0428
ADDISYN SAMUELSON LAT, ATC
Specialist/Technologist (Athletic Trainer)
911 W 5TH AVE
SPOKANE, WA 99204
Spokane County (509) 455-7844

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Orthotic And Prosthetic Services - Northwest, LLC's NPI number?

The NPI number for Pediatric Orthotic And Prosthetic Services - Northwest, LLC is 1053719633. It was assigned to this organization in the NPPES registry on December 12, 2014.

Where is Pediatric Orthotic And Prosthetic Services - Northwest, LLC located?

Pediatric Orthotic And Prosthetic Services - Northwest, LLC is located at 911 W 5th Ave, Spokane, WA 99204. The listed phone number is (509) 252-3373.

What is Pediatric Orthotic And Prosthetic Services - Northwest, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Pediatric Orthotic And Prosthetic Services - Northwest, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Pediatric Orthotic And Prosthetic S accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Pediatric Orthotic And Prosthetic Services - Northwest, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Pediatric Orthotic And Prosthetic Services - Northwest, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Orthotic And Prosthetic Services - Northwest, LLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.