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OTTO BOCK ORTHOPEDIC SERVICES LLC

Prosthetic/Orthotic Supplier

An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.

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Contact Information

OTTO BOCK ORTHOPEDIC SERVICES LLC
10643 KETTERING DR
CHARLOTTE, NC  28226
 Phone: 800-736-8276
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

 335E00000X 51 Medical Supply Company with Orthotist
 

Customized Equipment

 332BC3200X 87 All Other Suppliers
 

Durable Medical Equipment & Medical Supplies

 332B00000X 54 Other Medical Supply Company
 

Prosthetist

 224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for OTTO BOCK ORTHOPEDIC SERVICES LLC

NPI # 1104206499
LBN Legal business name OTTO BOCK ORTHOPEDIC SERVICES LLC
Authorized official KIMBERLY LEWIS - (EVP OF LICENSURE)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2015
Last updated 10/22/2025 - About 8 months ago
Identifiers
NC License # 02286
NC Medicaid 1104206499
NC Other 02396 AUSTIN NC HME LICENSURE
NC Other 02286 IN STATE NC HME LICENSURE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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