Provider Demographics
NPI:1255129854
Name:OPEN BIONICS INC
Entity type:Organization
Organization Name:OPEN BIONICS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ELISE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRISET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-417-8698
Mailing Address - Street 1:201 N BRAND BLVD UNIT 200
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-3590
Mailing Address - Country:US
Mailing Address - Phone:626-800-4432
Mailing Address - Fax:
Practice Address - Street 1:201 N BRAND BLVD UNIT 200
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-3590
Practice Address - Country:US
Practice Address - Phone:626-800-4432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPEN BIONICS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Multi-Specialty
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Multi-Specialty