SAN JUAN PROSTHETICS AND ORTHOTICS, LLC
NPI 1104859248
Prosthetic/Orthotic Supplier in Durango, CO

Active since July 09, 2006
1 MERCADO ST, STE. 203, DURANGO, CO 81301(970) 259-9258(970) 385-7262 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About San Juan Prosthetics And Orthotics, Llc NPPES

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

SAN JUAN PROSTHETICS AND ORTHOTICS, LLC (NPI 1104859248) is a healthcare organization registered as a prosthetic/orthotic supplier in Durango, Colorado and active in the NPI registry since July 2006. The organization lists Timothy John Obrien, President, as its authorized official.

NPPES Registry Identity

NPI1104859248
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePROSTHETIC DEVELOPMENT AND RESEARCH, INC.
Location Address1 MERCADO ST, STE. 203Durango, CO 81301-7300
Mailing Address1 Mercado St, Ste. 203Durango, CO 81301-7300 · (970) 259-9258 · Fax (970) 385-7262
Fax(970) 385-7262
Organization SubpartNo
Authorized OfficialTimothy John ObrienPresident · (970) 259-9258
Enumeration DateJuly 9, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1104859248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in IL · 1428
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.

1 MERCADO ST, Durango, CO 81301

Other Names 1

Doing Business AsSan Juan Prosthetics And Orthotics, Llc

Other Identifiers 1

Medicaid08002149CO

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.

Clinic/Center (Medical Specialty)
1 MERCADO ST, SUITE 150
DURANGO, CO 81301
Physician Assistant
1 MERCADO ST, SUITE 202
DURANGO, CO 81301
Massage Therapist
1 MERCADO ST, SUITE 150
DURANGO, CO 81301
Massage Therapist
1 MERCADO ST, STE 150
DURANGO, CO 81301
Physical Medicine & Rehabilitation
1 MERCADO ST, STE 200
DURANGO, CO 81301
Family Medicine
1 MERCADO ST, SUITE 160
DURANGO, CO 81301
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1 MERCADO ST, STE 200
DURANGO, CO 81301
Physician Assistant (Surgical)
1 MERCADO ST, STE 205
DURANGO, CO 81301

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 Development And Research, Inc.'s NPI number?

The NPI number for Prosthetic Development And Research, Inc. is 1104859248. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as San Juan Prosthetics And Orthotics, LLC.

Where is Prosthetic Development And Research, Inc. located?

Prosthetic Development And Research, Inc. is located at 1 Mercado St Ste. 203, Durango, CO 81301. The listed phone number is (970) 259-9258.

What is Prosthetic Development And Research, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Prosthetic Development And Research, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.