Northwest Orthotics & Prosthetics Inc
Durable Medical Equipment & Medical Supplies
1675 N Freedom Blvd Ste 12c, Provo
Utah, 84604-6940
801-377-3433 801-377-4127
Maps & DirectionsNorthwest Orthotics & Prosthetics Inc is a Durable Medical Equipment & Medical Supplies in Provo, Utah. This organization is also known as sub part of Hanger Clinic. It is situated at 1675 N Freedom Blvd Ste 12c, Provo and its contact number is 801-377-3433. The authorized person of Northwest Orthotics & Prosthetics Inc is Grace Angeline
who is Provider Contract Analyst Iii of the store and his/her contact number is 714-961-2102.
Northwest Orthotics & Prosthetics Inc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Complete Profile:
Northwest Orthotics & Prosthetics Inc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
| Specialization: | Durable Medical Equipment & Medical Supplies |
| Address: | 1675 N Freedom Blvd Ste 12c, Provo, Utah, 84604-6940 |
| Phone: | 801-377-3433 |
| Fax: | 801-377-4127 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Grace Angeline |
| Position: | Provider Contract Analyst Iii |
| Contact Number: | 714-961-2102 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Northwest Orthotics & Prosthetics Inc center are as mentioned below.
| NPI Number: | 1912991738 |
| Parent Organization: | Hanger Clinic |
| NPI Enumeration Date: | 08 Sep, 2005 |
| NPI Last Update On: | 28 Aug, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northwest Orthotics & Prosthetics Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Customized Equipment | D44206 | Utah | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 820305315003 | Medicaid | Utah | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Northwest Orthotics & Prosthetics Inc Po Box 650846, Dallas, Texas |
| Zip: | 75265-0846 |
| Phone Number: | -- |
Patients can reach Northwest Orthotics & Prosthetics Inc at
1675 N Freedom Blvd Ste 12c, Provo, Utah or can
call to book an appointment on 801-377-3433.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.