Organization Active NPI

Orthocare Orthotics and Porsthetics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Leesburg, FL
National Provider Identifier
1013910967
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ORTHOCARE ORTHOTICS AND PORSTHETICS, INC.
Practice address
711 N 3Rd St
Ste 3
Leesburg, FL 34748-4495
Phone
(352) 787-0065
Fax
(352) 787-3663
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick Michael O'Donell, CO,LO
Title
Owner, Certified Orthotist
Phone
(352) 787-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X FL Primary

Addresses

Primary practice location

711 N 3Rd St
Ste 3
Leesburg, FL 34748-4495

Mailing address

PO Box 491558
Leesburg, FL 34749-1558
Phone (352) 787-0065

National Provider Directory

National Provider Directory

Locations

711 N 3rd St
Ste 3
Leesburg, FL 34748
Phone (352) 787-0065

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013910967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491558",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347491558",
            "telephone_number": "352-787-0065",
            "fax_number": "352-787-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N 3RD ST",
            "address_2": "STE 3",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484495",
            "telephone_number": "352-787-0065",
            "fax_number": "352-787-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOCARE ORTHOTICS AND PORSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'DONELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER, CERTIFIED ORTHOTIST",
        "authorized_official_telephone_number": "352-787-0065",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO,LO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.