OTTO BOCK ORTHOPEDIC SERVICES LLC NPI 1740515782

NPI Information

NPI: 1740515782
Provider Name: OTTO BOCK ORTHOPEDIC SERVICES LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address: 11809 DOMAIN DR UNIT 110
AUSTIN, TX
ZIP 78758
Phone: (800) 736-8276

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NPI Details

OTTO BOCK ORTHOPEDIC SERVICES LLC is a prosthetic orthotic supplier in Austin, TX. 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. OTTO BOCK ORTHOPEDIC SERVICES LLC NPI is 1740515782. The provider is registered as an organization entity type.

The provider's business location address is:

11809 DOMAIN DR UNIT 110
AUSTIN, TX
ZIP 78758-452
Phone: (800) 736-8276
Fax: (866) 642-2302

The provider's authorized official is Kimberly Lewis .
The authorized official title is Evp Of Licensure and has the following contact phone number (512) 806-2756.

The enumeration date for this NPI number is 10/8/2009 and was last updated on 10/22/2025.

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	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	No
2	222Z00000X	Orthotist		No
3	224P00000X	Prosthetist		No
4	332B00000X	Durable Medical Equipment & Medical Supplies		No
5	335E00000X	Prosthetic/Orthotic Supplier		Yes

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	1001707	OTHER	TEXAS	DEVICE DISTRIBUTOR LICENSE
2	404809201	MEDICAID	TEXAS
3	MP01413	OTHER	NEVADA	NV STATE BOP-MEDICAL DEVICES, EQUIPMENT, GAS
4	R4009	OTHER	MARYLAND	MD DEPT OF HEALTH & MENTAL HYGIENE-RESIDENTIAL SERVICE AGENCY

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: 11/21/2025

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