# NORTHWEST ORTHOTICS & PROSTHETICS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HANGER CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912991738
- **Legal business name:** HANGER CLINIC
- **Authorized official:** JENNIFER L SIMMONS (REGULATORY COMPLIANCE ANALYST III)
- **Authorized official phone:** (206) 414-2907

## Contact information

- **Practice address:** 1675 N FREEDOM BLVD STE 12C, PROVO, UT 84604-6940
- **Practice address phone:** (801) 377-3433
- **Practice address fax:** (801) 377-4127
- **Mailing address:** PO BOX 650846, DALLAS, TX 75265-0846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | D44206 | UT | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2005
- **Last updated:** 03/05/2026