Provider Demographics
NPI:1952113888
Name:OPEN BIONICS INC
Entity type:Organization
Organization Name:OPEN BIONICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER, CPO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:838-900-3924
Mailing Address - Street 1:200 UNION BLVD STE 440
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1812
Mailing Address - Country:US
Mailing Address - Phone:720-417-8698
Mailing Address - Fax:
Practice Address - Street 1:100 PARK AVE # 1664
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5516
Practice Address - Country:US
Practice Address - Phone:877-437-6276
Practice Address - Fax:720-640-0405
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPEN BIONICS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-27
Last Update Date:2025-02-20
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