ORTHOPAEDIC TECHNOLOGY SPECIALISTS INC NPI 1194750190

NPI Information

NPI: 1194750190
Provider Name: ORTHOPAEDIC TECHNOLOGY SPECIALISTS INC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
577 RALPH MCGILL BLVD NE
ATLANTA, GA
ZIP 30312
Phone: (404) 215-9944
Get Directions

ORTHOPAEDIC TECHNOLOGY SPECIALISTS INC is a customized equipment durable medical equipment medical supplies in Atlanta, GA. ORTHOPAEDIC TECHNOLOGY SPECIALISTS INC NPI is 1194750190. The provider is registered as an organization entity type.

The provider's business location address is:

577 RALPH MCGILL BLVD NE
ATLANTA, GA
ZIP 30312-110
Phone: (404) 215-9944
Fax: (404) 215-9160

The provider's authorized official is Harry D Watkins .
The authorized official title is Certified Orthotist and has the following contact phone number (404) 215-9944.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes
2	335E00000X	Prosthetic/Orthotic Supplier				X
3	332B00000X	Durable Medical Equipment & Medical Supplies				X
4	246Z00000X	Specialist/Technologist, Other		090590LGS	GEORGIA	X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00929651A	MEDICAID	GEORGIA
2	00929651C	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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