NPIMap

Organization Active NPI

Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • Royersford, PA
National Provider Identifier
1013620897
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
OTTO BOCK PATIENT CARE, LLC
Practice address
410 W Linfield Trappe Rd Ste 110
Royersford, PA 19468-4295
Phone
(484) 932-5000
NPI assigned
Dec 27, 2022
Last updated
Dec 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pallavi Nemani
Title
Compliance Officer
Phone
(512) 552-6311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

410 W Linfield Trappe Rd Ste 110
Royersford, PA 19468-4295

Mailing address

11809 Domain Dr Unit 100
Austin, TX 78758-3452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230412001465 PA DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 2668804667 Practice locations: Royersford, PA

National Provider Directory

National Provider Directory
Tax ID family
Otto Bock Patient Care LLC57 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Networks

  • devoted network organization-ecc039f5-b2a0-481b-9642-4ad88d76e338Plans: DEVOTED CHOICE 001 DE (PPO) (H0413-001-000, H0413); DEVOTED CHOICE GIVEBACK 002 DE (PPO) (H0413-002-000, H0413)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1013620897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11809 DOMAIN DR UNIT 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W LINFIELD TRAPPE RD STE 110",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194684295",
            "telephone_number": "484-932-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO BOCK PATIENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "NEMANI",
        "authorized_official_first_name": "PALLAVI",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "512-552-6311"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royersford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.