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Active NPI 1841824521 Individual Practitioner Male Practitioner

Jake Coburn Davis , CPO, MSPO

Prosthetist • Richfield, UT

Professional Overview & Biography Verified Profile Summary

Jake Davis, CPO, MSPO is a registered healthcare professional specializing in Prosthetist in Richfield, UT. Practice services are available at 635 N MAIN ST STE 691 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

635 N Main St Ste 691

Richfield, UT 847011895

Telephone 8018200087
Fax 8018202852
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Richfield, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Richfield, UT (13 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-14
Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License None CPO04745

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

State License None CO005925

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 14, 2022

Registered at 635 N MAIN ST STE 691, RICHFIELD, UT 847011895 (Tel: 8018200087)

📍
Updated Business Mailing Address November 14, 2022

Registered at 635 N MAIN ST STE 691, RICHFIELD, UT 847011895 (Tel: 8018200087)

👤
Provider Name / Credentials Updated November 14, 2022

Recorded as JAKE DAVIS, CPO, MSPO

NPI Profile Active March 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2020

Registered at 1140 36TH ST STE 165, OGDEN, UT 844032064 (Tel: 8013920075)

📍
Updated Business Mailing Address March 03, 2020

Registered at 1140 36TH ST STE 165, OGDEN, UT 844032064 (Tel: 8013920075)

👤
Provider Name / Credentials Updated March 03, 2020

Recorded as JAKE DAVIS, CO, MSPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2020

Orthotist (License #CO005925 in None)

🟢
Initial NPI Registration & Enumeration March 03, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841824521
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2020
Last Update: November 14, 2022
Sole Proprietor: No

Mailing Address

635 N Main St Ste 691

Richfield, UT 847011895

Phone: 8018200087

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.