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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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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 and is a multi-specialty group.

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 Sharon Clark .
The authorized official title is National Payor Relations Mgr. and has the following contact phone number (512) 806-2879.

The enumeration date for this NPI number is 10/8/2009 and was last updated on 4/11/2024.


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
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
5335E00000XProsthetic/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
11001707OTHERTEXASDEVICE DISTRIBUTOR LICENSE
2404809201MEDICAIDTEXAS
3MP01413OTHERNEVADANV STATE BOP-MEDICAL DEVICES, EQUIPMENT, GAS
4R4009OTHERMARYLANDMD 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: 4/28/2024

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