THOMPSONS CUSTOM ORTHOTICS AND PROSTHETICS
NPI 1639138340
Prosthetic/Orthotic Supplier in Clarkston, WA
NPI Status: Active since March 21, 2006
Contact Information
717 6TH ST
CLARKSTON, WA
ZIP 99403
Phone: (509) 758-8874
Fax: (509) 624-5537
- Organization
- Prosthetic/Orthotic Supplier
- Accepts Insurance
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
- CLIA Number: 50D2161345
- CLIA Cert. Type: Other - MEDI OFFICE/RESEARCH SITE
- CLIA Exp. Date: 04-04-2028
About THOMPSONS CUSTOM ORTHOTICS AND PROSTHETICS
This page provides the complete NPI Profile along with additional information for Thompsons Custom Orthotics And Prosthetics, a provider established in Clarkston, Washington operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1639138340 assigned on March 2006. The practitioner's primary taxonomy code is 335E00000X with license number 602056141 (WA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Thompsons Custom Orthotics And Prosthetics. The authorized official of this NPI record is Alexa Jo Bruce (Office Manager)
- NPI
- 1639138340
- Provider Legal Name
- INLAND NORTHWEST ORTHOTICS AND PROSTHETICS, INC
- Other Organization Name
- THOMPSONS CUSTOM ORTHOTICS AND PROSTHETICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 717 6TH ST CLARKSTON, WA 99403
- Location Phone
- (509) 758-8874
- Location Fax
- (509) 624-5537
- Mailing Address
- 401 S SHERMAN ST. SPOKANE, WA 99202
- Mailing Phone
- (509) 624-1308
- Mailing Fax
- (509) 624-5537
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-21-2006
- Last Update Date
- 01-25-2023
- Code Navigator
Thompsons Custom Orthotics And Prosthetics is a medicare supplier with PTAN 20575433 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.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 No.
- 602056141
- License State
- WA
- 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:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 509-624-1308 | MEDICAID (05) | WA | |
| 805809101 | MEDICAID (05) | ID | |
| 9050030 | MEDICAID (05) | WA | |
| 5006930042 | MEDICAID (05) | OR |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20575433
- Accepts Medicare Assignment
- NO
- Specialities List
- 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 -
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2161345
- Facility Type
- Other - MEDI OFFICE/RESEARCH SITE
- Certificate Effective Date
- January 31, 2019
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- JASON ALDRED
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Thompsons Custom Orthotics And Prosthetics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for THOMPSONS CUSTOM ORTHOTICS AND PROSTHETICS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 3 | 8 | 3 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 3 | 16 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 3 + 1 + 6 + 3 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1639138340 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
ROBERT PATAI CPO, LCPO
Prosthetist
717 6TH ST
CLARKSTON, WA
ZIP 99403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639138340, enumerated as an "organization" on March 21, 2006.
The provider is located at 717 6TH ST CLARKSTON, WA 99403 and the phone number is (509) 758-8874.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.
