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Active NPI 1124332515 Individual Practitioner Male Practitioner

Justin Williams , CPO

Prosthetist • Olympia, WA

Professional Overview & Biography Verified Profile Summary

Justin Williams, CPO is a registered healthcare professional specializing in Prosthetist in Olympia, WA. Practice services are available at 530 LILLY RD SE STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

530 Lilly Rd Se Ste 100

Olympia, WA 985012105

Telephone 3604860565
Fax 3604860551
Associated Practice Facility / Clinic
🏢 Knapp Prosthetics Facility NPI 1124082433

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Olympia, WA

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

Practicing in Olympia, WA (133 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: 2025-03-24
Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

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.

Orthotic Fitter

NUCC Taxonomy Code: 225000000X

An individual trained in the management of fitting prefabricated orthoses.

Orthotist

NUCC Taxonomy Code: 222Z00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1275040081
NPI 1285141093
NPI 1487161394

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 24, 2025

Registered at 530 LILLY RD SE STE 100, OLYMPIA, WA 985012105 (Tel: 3604860565)

📍
Updated Business Mailing Address March 24, 2025

Registered at 530 LILLY RD SE STE 100, OLYMPIA, WA 985012105 (Tel: 3604860565)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2025

Orthotic Fitter

NPI Profile Active January 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2012

Registered at 2780 E BARNETT RD, SUITE 110, MEDFORD, OR 975048674 (Tel: 5416082478)

📍
Updated Business Mailing Address January 10, 2012

Registered at 1700 N CHRISMAN RD, TRACY, CA 953049314 (Tel: 5416082478)

👤
Provider Name / Credentials Updated January 10, 2012

Recorded as JUSTIN WILLIAMS, CPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2012

Orthotist

🟢
Initial NPI Registration & Enumeration July 28, 2010

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: 1124332515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2010
Last Update: March 24, 2025
Sole Proprietor: No

Mailing Address

530 Lilly Rd Se Ste 100

Olympia, WA 985012105

Phone: 3604860565

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.