Willamette Orthotics & Prosthetics LLC
NPI 1124726815 · Prosthetic/Orthotic Supplier · Tualatin, OR
Enrolled with Medicare as Dme Supplier - Certified Orth/Pros/Pedorthist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Willamette Orthotics & Prosthetics LLC is a Prosthetic/Orthotic Supplier organization in Tualatin, OR (NPI 1124726815).
Provider details
- NPI number
- 1124726815
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- Willamette Orthotics & Prosthetics LLC
- Organization subpart
- Yes
- Authorized official
- Ivan Sabel, Ceo(503) 364-6006
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Other names (DBA / former)
- Doing business as
- Summit Orthotics and Prosthetics
Registry dates
- Enumerated
- 2023-02-21
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Frequently asked questions
- What is Willamette Orthotics & Prosthetics LLC's NPI number?
- Willamette Orthotics & Prosthetics LLC's National Provider Identifier (NPI) is 1124726815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willamette Orthotics & Prosthetics LLC?
- Willamette Orthotics & Prosthetics LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Willamette Orthotics & Prosthetics LLC located?
- Willamette Orthotics & Prosthetics LLC's practice location on file with NPPES is 19767 Sw 72nd Ave Ste 102, Tualatin, OR 97062-8354.
- What is Willamette Orthotics & Prosthetics LLC's phone number?
- The practice phone number listed in the NPPES registry for Willamette Orthotics & Prosthetics LLC is (503) 364-6006.
- Does Willamette Orthotics & Prosthetics LLC accept Medicare?
- Willamette Orthotics & Prosthetics 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 Willamette Orthotics & Prosthetics LLC?
- The authorized official listed on Willamette Orthotics & Prosthetics LLC's NPPES record is Ivan Sabel, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willamette Orthotics & Prosthetics LLC's NPI active?
- Yes — Willamette Orthotics & Prosthetics LLC's NPI (1124726815) is active in the NPPES registry as of the last update on 2026-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.