OrganizationActiveAccepts Medicare
Liston Prosthetics, LLC
NPI 1669935292 · Prosthetic/Orthotic Supplier · Murray, UT
Enrolled with Medicare as Dme Supplier - Prosthetic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1669935292
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- James Liston, Certified Prosthetist(385) 425-3960
Specialties & taxonomies
Suppliers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
5292 S College Dr Ste 103
Murray, UT 84123-2959
Phone: (385) 425-3960
Fax: (385) 425-3965
Street-level locationGet directions
Mailing address
5292 S College Dr Ste 103
Murray, UT 84123-2959
Registry dates
- Enumerated
- 2019-04-10
- Last updated
- 2019-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.