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WILMINGTON ORTHOTICS & PROSTHETICS INC. NPI 1881771640


NPI Information

NPI: 1881771640
Provider Name: WILMINGTON ORTHOTICS & PROSTHETICS, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
3909 OLEANDER DR STE E
WILMINGTON, NC
ZIP 28403
Phone: (910) 395-5775
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WILMINGTON ORTHOTICS & PROSTHETICS, INC. is a prosthetic orthotic supplier in Wilmington, NC. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. WILMINGTON ORTHOTICS & PROSTHETICS, INC. NPI is 1881771640. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3909 OLEANDER DR STE E
WILMINGTON, NC
ZIP 28403-714
Phone: (910) 395-5775
Fax: (910) 395-5773

The provider's authorized official is Mariska Truesdale .
The authorized official title is Business Manager and has the following contact phone number (910) 395-5775.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 4/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1222Z00000XOrthotistNo
2224P00000XProsthetistNo
3332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
4335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10472OTHERNORTH CAROLINABCBS OF NC PROVIDER NUMBE
27701282MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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