PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
NPI 1225430150
Prosthetic/Orthotic Supplier in Salt Lake City, UT

NPI Status: Active since September 23, 2014

Contact Information

1275 E FAIRFAX RD
SALT LAKE CITY, UT
ZIP 84103
Phone: (801) 536-3820
Fax: (801) 536-3731

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
Medical Equipment Supplier
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Prosthetic/Orthotic Supplier
Accepts Insurance
Medicare Supplier
Accepts Medicare Approved Payment

About PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC

This page provides the complete NPI Profile along with additional information for Pediatric Orthotic And Prosthetic Services- West, Llc, a provider established in Salt Lake City, Utah operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1225430150 assigned on September 2014. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is David R Draper Cpo (Director)

NPI: 1225430150
Provider Name: PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
Entity Type: Organization
Location Address: 1275 E FAIRFAX RD SALT LAKE CITY, UT 84103
Location Phone: (801) 536-3820
Location Fax: (801) 536-3731
Mailing Address: PO BOX 947109 ATLANTA, GA 30394
Mailing Phone: (813) 367-2876
Mailing Fax: (801) 536-3731
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 09-23-2014
Last Update Date: 03-03-2026
Code Navigator

Pediatric Orthotic And Prosthetic Services- West, Llc is a medicare supplier with PTAN 20485181 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Prosthetic/Orthotic Supplier
Taxonomy Code: 335E00000X
Type: Suppliers
License State: UT
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross Blue Shield of Arizona

AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits) - HMO
AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits) - HMO
AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits) - HMO
AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits) - HMO
AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits) - HMO
AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits) - HMO
AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit) - HMO
AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit) - HMO
AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit) - HMO
AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit) - HMO
AZ Blue Portfolio Bronze HSA Focus - HMO
AZ Blue Portfolio Bronze HSA Neighborhood - HMO
AZ Blue StandardHealth Bronze Focus - HMO
AZ Blue StandardHealth Bronze Neighborhood - HMO
AZ Blue StandardHealth Gold Focus - HMO
AZ Blue StandardHealth Gold Neighborhood - HMO
AZ Blue StandardHealth Silver Focus - HMO
AZ Blue StandardHealth Silver Neighborhood - HMO

Molina Healthcare

Molina Gold Core 1640 - HMO
Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
Molina Gold Standard - HMO
Molina Silver Core - HMO
Molina Silver Core Plus with Adult Dental and Vision - HMO
Molina Silver Core Plus with Adult Vision - HMO
Molina Silver Saver with Four Free PCP Visits - HMO
Molina Silver Standard - HMO

Select Health

Med Benchmark Expanded Bronze Select Copay Plan - HMO
Med Benchmark Expanded Bronze Standardized Plan - HMO
Med Benchmark Gold Standardized Plan - HMO
Med Benchmark Platinum - HMO
Med Benchmark Platinum Standardized Plan - HMO
Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
Med Benchmark Silver Standardized Plan - HMO
Med Gold 1500 Medical Deductible - HMO
Signature Benchmark Gold - HMO
Signature Benchmark Gold Standardized Plan - HMO
Signature Benchmark Silver 5900 Medical Deductible - HMO
Signature Benchmark Silver Standardized Plan - HMO
Value Benchmark Expanded Bronze Select Copay Plan - HMO
Value Benchmark Gold Standardized Plan - HMO
Value Benchmark Platinum - HMO
Value Benchmark Platinum Standardized Plan - HMO
Value Benchmark Silver 5900 Medical Deductible - HMO
Value Benchmark Silver Standardized Plan - HMO
Value Expanded Bronze 6900 Medical Deductible - HMO
Value Gold 1500 Medical Deductible - HMO

University of Utah Health Plans

Healthy Premier Bronze HSA - EPO
Healthy Premier Expanded Bronze Standard - EPO
Healthy Premier Gold Copay Office Visits - EPO
Healthy Premier Gold Standard - EPO
Healthy Premier Silver Copay Office Visits - EPO
Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DAVID R DRAPER CPO
Authorized Official Title: DIRECTOR
Authorized Official Phone: (801) 536-3827

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN: 20485181
Accepts Medicare Assignment: YES
Specialities List: MSC With Orthotic-Prosthetic, Orthotic Personnel, Prosthetic Personnel.
Competitive Bidding: NO

Supplies List

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 and Inserts - Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
Lymphedema Compression Treatment Items -

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1225430150, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 4

Pos 4

Unchanged

Pos 5

Doubled → 8

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 4 + 5 + 8 + 3 + 0 + 1 + 1 + 0 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0

This NPI is valid

The calculated check digit is 0, which matches the last digit of 1225430150.