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PROSTHETIC & ORTHOTIC GROUP - SOUTHERN COLORADO, LLC
NPI 1053859009
Prosthetic/Orthotic Supplier in Pueblo, CO

Active since February 09, 2017
1310 FORTINO BLVD STE B, PUEBLO, CO 81008(719) 542-1313(719) 542-9140 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2025, Apr 30, 2019, Feb 9, 2017 (3 updates tracked since 2017).

About Prosthetic & Orthotic Group - Southern Colorado, Llc NPPES

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

PROSTHETIC & ORTHOTIC GROUP - SOUTHERN COLORADO, LLC (NPI 1053859009) is a healthcare organization registered as a prosthetic/orthotic supplier in Pueblo, Colorado and active in the NPI registry since February 2017. The organization lists Grace Angeline, Reg Comp Analyst Ii, as its authorized official.

NPPES Registry Identity

NPI1053859009
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePROSTHETIC & ORTHOTIC GROUP - SOUTHERN COLORADO, LLC
Location Address1310 FORTINO BLVD STE BPueblo, CO 81008-2076
Mailing AddressPo Box 650846Dallas, TX 75265-0846
Phone(719) 542-1313
Fax(719) 542-9140
Organization SubpartYesParent: Hanger Inc
Authorized OfficialGrace AngelineReg Comp Analyst Ii · (714) 961-2102
Enumeration DateFebruary 9, 2017
Last NPPES UpdateApril 4, 20253 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1053859009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An 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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1310 FORTINO BLVD STE B, Pueblo, CO 81008
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Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Prosthetic & Orthotic Group - South carries, from the Medicare DMEPOS supplier directory.

Prosthetic & Orthotic Group - South

DMEPOS supplier · Pueblo, COOperated by Prosthetic & Orthotic Group - Southern Colorado, LLC
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Does not accept Medicare assignment

Prosthetic & Orthotic Group - South has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20422133
Medicare Participant SinceMarch 6, 2019
Supplier Location1310 Fortino Blvd Ste BPueblo, CO 81008
Phone(719) 542-1313
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Contracture Treatment Devices: Dynamic Splint
Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
Neuromuscular Elect Stimulators (NMES)/Supplies
Electrodes, lead wires, adhesive tape
(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies
Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Prosthetic & Orthotic Group - Southern Colorado, LLC's NPI number?

The NPI number for Prosthetic & Orthotic Group - Southern Colorado, LLC is 1053859009. It was assigned to this organization in the NPPES registry on February 9, 2017.

Where is Prosthetic & Orthotic Group - Southern Colorado, LLC located?

Prosthetic & Orthotic Group - Southern Colorado, LLC is located at 1310 Fortino Blvd Ste B, Pueblo, CO 81008. The listed phone number is (719) 542-1313.

What is Prosthetic & Orthotic Group - Southern Colorado, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Prosthetic & Orthotic Group - Southern Colorado, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Prosthetic & Orthotic Group - South does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Prosthetic & Orthotic Group - Southern Colorado, LLC was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.