PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHWEST, LLC
NPI 1851669584
Prosthetic/Orthotic Supplier in Portland, OR

NPI Status: Active since December 08, 2011

Contact Information

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239
Phone: (503) 221-3430

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

About PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHWEST, LLC

This page provides the complete NPI Profile along with additional information for Pediatric Orthotic And Prosthetic Services - Northwest, Llc, a provider established in Portland, Oregon operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1851669584 assigned on December 2011. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Todd Dewees (Manager)

NPI
1851669584
Provider Name
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHWEST, LLC
Entity Type
Organization
Location Address
3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239
Location Phone
(503) 221-3430
Mailing Address
PO BOX 947109 ATLANTA, GA 30394
Mailing Phone
(813) 367-2876
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-08-2011
Last Update Date
04-23-2025
Code Navigator



Pediatric Orthotic And Prosthetic Services - Northwest, Llc is a medicare supplier with PTAN 20520587 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
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:

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Silver 6500 Legacy - 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

MR. TODD DEWEES

Authorized Official Title
MANAGER
Authorized Official Phone
(503) 221-3430

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20520587
Accepts Medicare Assignment
YES
Specialities List
MSC With Orthotic Personnel, MSC With Prosthetic Personnel, MSC With Orthotic-Prosthetic, Orthotic Personnel, Prosthetic Personnel.
Provider Type List
CERTIFIED ORTH/PROS/PEDORTHIST.
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 -

Reviews for PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHWEST, LLC

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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 1851669584, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
1
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
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 5 → 10 → 1 6 → 12 → 3 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 0 + 1 + 1 + 2 + 6 + 1 + 8 + 5 + 1 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1851669584.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Registered Nurse (Pediatrics)
3101 SW SAM JACKSON PARK RD, SHRINERS HOSPITAL FOR CHILDREN
PORTLAND, OR 97239
Occupational Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Occupational Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Occupational Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Occupational Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapy Assistant
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist (Pediatrics)
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist (Pediatrics)
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapy Assistant
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Anesthesiology
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Orthopaedic Surgery
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Orthopaedic Surgery
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Anesthesiology (Pediatric Anesthesiology)
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Social Worker
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851669584, enumerated as an "organization" on December 08, 2011.

The provider is located at 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 and the phone number is (503) 221-3430.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.