Provider Demographics
NPI:1912902255
Name:ORTHOPEDIC REHABILITATION PRODUCTS
Entity Type:Organization
Organization Name:ORTHOPEDIC REHABILITATION PRODUCTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:S
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-493-8288
Mailing Address - Street 1:PO BOX 440956
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80044-0956
Mailing Address - Country:US
Mailing Address - Phone:720-524-0950
Mailing Address - Fax:720-524-0383
Practice Address - Street 1:5895 E EVANS AVE
Practice Address - Street 2:STE 102
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5340
Practice Address - Country:US
Practice Address - Phone:720-524-0950
Practice Address - Fax:720-524-0383
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANGER ORTHOPEDIC GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-14
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0800660001OtherPALMETTO GBA
0800660001OtherPALMETTO GBA