Jake Coburn Davis , CPO, MSPO
Prosthetist β’ Richfield, UT
635 N Main St Ste 691
Richfield, UT 847011895
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
635 N Main St Ste 691
Richfield, UT 847011895
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Prosthetist: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2020
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Richfield and Utah
1 active clinicians are listed under Prosthetist with a practice address in Richfield, UT (13 in Utah).
Addresses are self-reported to NPPES and may be out of date.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-11-14NUCC 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.
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.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 635 N MAIN ST STE 691, RICHFIELD, UT 847011895 (Tel: 8018200087)
Registered at 635 N MAIN ST STE 691, RICHFIELD, UT 847011895 (Tel: 8018200087)
Recorded as JAKE DAVIS, CPO, MSPO
NPI status registered as active in NPPES database
Registered at 1140 36TH ST STE 165, OGDEN, UT 844032064 (Tel: 8013920075)
Registered at 1140 36TH ST STE 165, OGDEN, UT 844032064 (Tel: 8013920075)
Recorded as JAKE DAVIS, CO, MSPO
Orthotist (license number reported to NPPES: None CO005925)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
635 N Main St Ste 691
Richfield, UT 847011895
Phone: 8018200087