Pediatric Orthotic and Prosthetic Services - Northwest, LLC
NPI 1053719633 · Durable Medical Equipment & Medical Supplies · Spokane, WA
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Orthotic-Prosthetic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric Orthotic and Prosthetic Services - Northwest, LLC is a Durable Medical Equipment & Medical Supplies organization in Spokane, WA (NPI 1053719633).
Provider details
- NPI number
- 1053719633
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Pediatric Orthotic and Prosthetic Services - Northwest, LLC
- Organization subpart
- Yes
- Authorized official
- Clint Hastings, Manager(509) 252-3373
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-12-12
- Last updated
- 2025-04-23
- Certified
- 2025-04-23
Frequently asked questions
- What is Pediatric Orthotic and Prosthetic Services - Northwest, LLC's NPI number?
- Pediatric Orthotic and Prosthetic Services - Northwest, LLC's National Provider Identifier (NPI) is 1053719633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Orthotic and Prosthetic Services - Northwest, LLC?
- Pediatric Orthotic and Prosthetic Services - Northwest, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Pediatric Orthotic and Prosthetic Services - Northwest, LLC located?
- Pediatric Orthotic and Prosthetic Services - Northwest, LLC's practice location on file with NPPES is 911 W 5th Ave, Spokane, WA 99204-2901.
- What is Pediatric Orthotic and Prosthetic Services - Northwest, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Orthotic and Prosthetic Services - Northwest, LLC is (509) 252-3373.
- Does Pediatric Orthotic and Prosthetic Services - Northwest, LLC accept Medicare?
- Pediatric Orthotic and Prosthetic Services - Northwest, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatric Orthotic and Prosthetic Services - Northwest, LLC?
- The authorized official listed on Pediatric Orthotic and Prosthetic Services - Northwest, LLC's NPPES record is Clint Hastings, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Orthotic and Prosthetic Services - Northwest, LLC's NPI active?
- Yes — Pediatric Orthotic and Prosthetic Services - Northwest, LLC's NPI (1053719633) is active in the NPPES registry as of the last update on 2025-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.