PROSTHETIC CARE CLINIC LLC
NPI 1245838523
Durable Medical Equipment & Medical Supplies in Fort Morgan, CO

Active since October 09, 2020
812 MAIN ST, FORT MORGAN, CO 80701(970) 743-3118(707) 433-1219 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2023, Nov 2, 2021, Mar 1, 2021 and 1 more (4 updates tracked since 2020).

About Prosthetic Care Clinic Llc NPPES

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

PROSTHETIC CARE CLINIC LLC (NPI 1245838523) is a healthcare organization registered as a durable medical equipment & medical supplies in Fort Morgan, Colorado and active in the NPI registry since October 2020. The organization lists Johan Smith, Certified Orthotist Prosthetist, as its authorized official.

NPPES Registry Identity

NPI1245838523
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePROSTHETIC CARE CLINIC LLC
Location Address812 MAIN STFort Morgan, CO 80701-2030
Mailing Address812 Main StFort Morgan, CO 80701-2030
Fax(707) 433-1219
Organization SubpartNo
Authorized OfficialJohan SmithCertified Orthotist Prosthetist · (720) 795-6438
Enumeration DateOctober 9, 2020
Last NPPES UpdateMarch 16, 20234 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
NPI 1245838523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.
Also ListedOrthotistTaxonomy 222Z00000X
Also ListedProsthetistTaxonomy 224P00000X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
812 MAIN ST, Fort Morgan, CO 80701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Prosthetic Care Clinic LLC carries, from the Medicare DMEPOS supplier directory.

Prosthetic Care Clinic LLC

DMEPOS supplier · Fort Morgan, CO

Does not accept Medicare assignment

Prosthetic Care Clinic LLC 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)20402213
Medicare Participant SinceFebruary 10, 2022
Supplier Location812 Main StFort Morgan, CO 80701
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
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 Care Clinic LLC's NPI number?

The NPI number for Prosthetic Care Clinic LLC is 1245838523. It was assigned to this organization in the NPPES registry on October 9, 2020.

Where is Prosthetic Care Clinic LLC located?

Prosthetic Care Clinic LLC is located at 812 Main St, Fort Morgan, CO 80701. The listed phone number is (970) 743-3118.

What is Prosthetic Care Clinic LLC's specialty?

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

Does Prosthetic Care Clinic LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Prosthetic Care Clinic LLC 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 Care Clinic LLC was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.