Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prosthetic & Orthotic Group Boulder LLC

Organization Prosthetic/Orthotic Supplier · NPI 1316700743

Prosthetic & Orthotic Group Boulder LLC is a Prosthetic/Orthotic Supplier in Boulder, Colorado. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2850 Iris Ave Ste I4
Boulder, CO 80301-1493
Phone: (303) 381-4500
Fax: (970) 416-9359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1316700743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Matsushima — Ceo · (562) 595-6445
NPI enumeratedJanuary 30, 2024
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address2850 Iris Ave Ste I4, Boulder, CO 80301-1493