Fit-Well Prosthetic and Orthotic Center – Prosthetic/Orthotic Supplier, NPI 1083841597
Prosthetic/Orthotic Supplier
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Fit-Well Prosthetic and Orthotic Center
50 S 900 E STE 1
SALT LAKE CITY, UT 841021366
Phone: (801) 364-3100
Fax: (801) 575-5462
Type: Mailing
720 S RIVER RD STE B205
ST GEORGE, UT 847905532
Phone: (435) 634-0070
Fax: (435) 634-0070
Type: Location
7575 S 900 E
MIDVALE, UT 840472343
Phone: (801) 364-3100
Fax: (801) 872-5714
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-08-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (619 days ago).
Enrollment records
1
Earliest due date
2024-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20110810000226 | O | Certified Orth/Pros/Pedorthist | UT | 2024-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84102)
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