What Cascade Prosthetics & Orthotics does

Cascade Prosthetics & Orthotics is a privately held, founder-owned specialty healthcare practice headquartered in Washington State, operating two clinic locations in Ferndale and Mount Vernon and offering mobile practitioner services to hospitals, clinics, and skilled nursing facilities across a broad service area spanning from Bellingham/Anacortes through the Seattle metropolitan region. Founded in 1980 by Don Buethorn after his graduation from the University of Washington School of Prosthetics and Orthotics, the firm has remained under continuous founder ownership, is ABC-accredited, and staffs four certified prosthetist/orthotists (Don Buethorn, Larry Paise, Kirill Kirieiev, Lane Guffy) with combined experience exceeding 50 years.

The firm delivers custom and off-the-shelf prosthetic and orthotic devices for pediatric and adult patients, organized into three service lines: Prosthetics (lower-limb endoskeletal and exoskeletal systems with microprocessor components such as Otto Bock C-Leg, Ossur Rheo 2.0, Freedom Plie 2.0, and Ossur Proprio Foot; upper-limb myoelectric, body-powered, and Naked Prosthetics devices; pre-operative consultations and immediate post-surgical care); Orthotics (carbon fiber AFOs, KAFOs with stance-control microprocessor joints, knee and spinal orthoses, fracture bracing, custom-molded foot orthotics, and Bioness/WalkAide neurostimulators for foot drop); and Pediatrics (DAFOs sourced from sister company Cascade Dafo, STARband FDA-cleared cranial remolding orthoses for infants 3-18 months, and protective helmets). Devices are fabricated in an in-house lab and fitted/adjusted to patient anatomy and gait.

Cascade Prosthetics & Orthotics generates revenue primarily through insurance reimbursement from Medicare and a broad contracted network of Washington State payers (Premera, Regence, Kaiser, First Choice, United Health Care, Aetna, Humana, Apple Health/DSHS, and Medicaid managed care plans including Molina, Community Health Plan of WA, Coordinated Care, Amerigroup), with secondary revenue from direct patient payment for custom devices. The firm is not contracted with Cigna. Patient acquisition is overwhelmingly referral-driven from physicians, physical therapists, and skilled nursing facility rehab directors, supported by patient testimonials, condition-specific educational content, and a dedicated 'Just for Kids' pediatric section. The market is the Pacific Northwest, with no disclosed expansion beyond Washington State.

Name

Cascade Prosthetics & Orthotics

Legal name

Cascade Prosthetics & Orthotics

Website

https://cascadepoclinics.com

Company type

Private

Founded year

1980

Operating status

Operating

Headcount range

11–50 employees

Short description

Cascade Prosthetics & Orthotics is an ABC-accredited, founder-owned specialty healthcare practice in Washington State providing custom and off-the-shelf prosthetic and orthotic devices for pediatric and adult patients through two clinics and mobile services.

Ownership category

akta.pro rank

Product category

Prosthetic and Orthotic Healthcare Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340)

SIC

Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)

akta.pro primary industry

Orthotics & Bracing (AFO/KAFO, Spinal, Soft Goods Supports) (HLAHAMAC)

akta.pro secondary industries

Orthotics & Bracing (Spinal/Lower/Upper Extremity Orthoses) (HLAHAEAI), Limb Prosthetics (Upper/Lower Extremity Prosthetic Systems) (HLAHAEAH), Prosthetic Components & Rehabilitation Accessories (Liners, Feet, Knees, Sockets) (HLAHAMAD)

Keywords

• Custom prosthetic devices
• Orthotic bracing services
• Pediatric lower extremity bracing
• Microprocessor prosthetic knees
• Cranial remolding orthoses

Headquarters

HQ city

Ferndale

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Supply Chain, Operations, Marketing or Sales, Technology or R&D

Revenue model

1. Insurance-Reimbursed Services: Revenue generated through insurance reimbursements. Accepts Medicare and most major private health insurance plans including Premera, Regence, Kaiser, First Choice, United Health Care, Apple Health/DSHS, Medicaid plans (Molina, Community Health Plan of WA, Coordinated Care, Amerigroup, United HealthCare Community Plan), Aetna, and Humana.
2. Patient-Paid Services: Direct payment from patients for custom-built and off-the-shelf prosthetic and orthotic devices. Custom devices are created in their own fabrication lab with special consideration to patients' unique needs and preferences.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

Cascade Prosthetics & Orthotics designs, fabricates, and fits custom and off-the-shelf prosthetic and orthotic devices for pediatric and adult patients from two clinic locations in Washington State. Core offerings span prosthetics (lower-limb with microprocessor components and upper-limb myoelectric systems), orthotics (lower-limb AFOs/KAFOs, spinal braces, neurostimulators, fracture bracing, custom foot orthotics), and pediatrics (DAFOs, STARband cranial remolding orthoses, protective helmets), with mobile practitioner services delivered to hospitals, clinics, and skilled nursing facilities.

Product overview

Cascade Prosthetics & Orthotics is a dual-location healthcare provider (Ferndale and Mount Vernon, WA) offering custom-built and off-the-shelf prosthetic and orthotic devices for pediatric and adult patients. The core offerings span three main categories: (1) Prosthetics – including lower limb prosthetics with microprocessor knees (C-leg, Rheo Knee, Plie 2.0), microprocessor feet (Ossur Proprio Foot), and upper limb prosthetics including myoelectric arms (Utah Arm 3, Otto Bock, i-LIMB) and Naked Prosthetics finger devices; (2) Orthotics – including lower-limb orthoses (carbon fiber AFOs, knee orthoses, KAFOs), neurostimulators for foot drop (Bioness L300/L100 GO, Walkaide), spinal orthoses (scoliosis bracing, cervical/thoracic/lumbar supports), and fracture bracing; and (3) Pediatrics – specializing in DAFOs (Dynamic Ankle Foot Orthoses) from sister company Cascade Dafo, cranial remolding orthoses (STARband), and protective helmets. The company also offers advanced technology devices featuring AI-powered microprocessor systems like the RHEO KNEE with artificial intelligence, and provides pre-op consultations and immediate post-surgical care. All practitioners are ABC-accredited and licensed by the State of Washington.

Differentiator

Problem solved

Functional benefit

Brands

• Cascade Dafo: Sister company and industry-leading manufacturer of pediatric lower-extremity braces. Created the original DAFO (Dynamic Ankle Foot Orthosis) in 1985.

Products and services

• Prosthetic Services
• Orthotic Services
• Pediatric Prosthetic and Orthotic Services
• Advanced Technology Prosthetic Devices
• Pre-Operative Consultation and Immediate Post-Surgical Care
• Mobile Hospital, Clinic, and Skilled Nursing Facility Services

Quantifiable outcome

• Devices can be life-changing, restoring function and building confidence—even inspiring patients to return to activities they once enjoyed
• +1 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Eleven partnerships are on record, tiered core and minor.

• Cascade DafocoreStrategic or Co-development PartnerCascade Dafo is the sister company and the industry's leading manufacturer of pediatric lower-extremity braces. Cascade Prosthetics & Orthotics has full access to their world-class mobility solutions. Cascade Dafo created the original DAFO® in 1985 and now manufactures the most complete system of pediatric bracing in the industry. Cascade Prosthetics & Orthotics uses this same state-of-the-art technology to fabricate devices for their patients.
• MedicarecoreOthersContracted Medicare provider. Accepts Medicare for covered prosthetic and orthotic services.
• Premera Blue CrosscoreOthersContracted health insurance provider in Washington State.
• Regence Blue ShieldcoreOthersContracted health insurance provider in Washington State.
• Kaiser PermanentecoreOthersContracted health insurance provider in Washington State.
• United Health CarecoreOthersContracted health insurance provider in Washington State.
• First Choice HealthcoreOthersContracted health insurance provider in Washington State.
• Apple Health / DSHScoreOthersContracted Washington State Medicaid provider for low-income individuals and families.
• Medicaid Plans (Molina, Community Health Plan of WA, Coordinated Care, Amerigroup, United HealthCare Community Plan)coreOthersContracted Medicaid managed care plans for Washington State.
• AetnaminorOthersContracted with some Aetna plans for Washington State patients.
• HumanaminorOthersContracted with some Humana plans for Washington State patients.

Scale indicators3 records

Recent moves5 records

Expansion highlights5 records

Others

• Fillauer: U.S.-based manufacturer of prosthetic components (feet, knees, terminal devices) and orthotic products serving O&P clinics nationwide. Comparable as a component supplier supporting Cascade's prosthetic fabrication operations.
• Bioness (now part of Ottobock): Manufacturer of the L300 GO and L100 GO functional electrical stimulation devices for foot drop that Cascade P&O fits and dispenses. Comparable as a technology supplier enabling Cascade's neurostimulation orthotic offering.
• Cascade Dafo: Sister company and manufacturer of the DAFO pediatric bracing system that Cascade P&O clinically applies. Not a direct competitor but a strategic supplier and ecosystem partner whose product portfolio defines Cascade P&O's pediatric specialty offering.
• Orthomerica: Manufacturer of the STARband cranial remolding orthosis (FDA-cleared for plagiocephaly treatment) that Cascade P&O fits. Comparable as a key supplier/partner enabling Cascade's cranial remolding pediatric service line.

Broad incumbents

• Össur: Iceland-based global leader in non-invasive orthopaedics, manufacturing the Rheo Knee, Proprio Foot, and other microprocessor components Cascade P&O fits. Comparable as a manufacturer/supplier partner and as a growing direct-to-patient prosthetics provider competing for high-acuity cases.
• Ottobock: Global German manufacturer of prosthetics (including the C-Leg and Bebionic hand that Cascade P&O fits) and orthotics, with growing direct patient care operations. Comparable as a primary supplier and technology partner to Cascade; competes indirectly through its Ottobock Patient Care clinic network.
• Hanger Clinic (Hanger, Inc.): The largest U.S. provider of orthotic and prosthetic patient care services with ~900 clinic locations nationwide. Directly comparable to Cascade P&O in service offering (custom prosthetics, orthotics, pediatrics, microprocessor devices) but at vastly greater scale, giving it payer leverage and clinical trial capabilities Cascade cannot match.

Direct peers

• Scheck & Siress: A regional Midwest O&P provider with multiple clinic locations offering prosthetics, orthotics, and pediatrics including DAFO bracing and microprocessor knees. Operates with the same practitioner-led, custom-fabrication model as Cascade P&O and serves a comparable mix of adult amputees, pediatric, and orthotic patients.
• Ability Prosthetics & Orthotics: A multi-state U.S. provider of prosthetic and orthotic patient care with multiple clinic locations and ABC-accredited practitioners. Closely comparable to Cascade P&O in operating model (clinical practitioner-led, custom fabrication, broad payer contracting), but with a larger geographic footprint across the Northeast and Midwest.
• Bulow Orthotic & Prosthetic Solutions: Multi-location U.S. O&P provider specializing in advanced prosthetics including microprocessor knees and custom orthotics, with practitioner-led clinical care. Closely comparable to Cascade P&O in service mix, technology adoption, and practitioner-led clinical model, operating across multiple U.S. states.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/cascade-prosthetics-orthotics

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Cascade Prosthetics & Orthotics