Active NPI
Orthokinect LLC
- Durable Medical Equipment & Medical Supplies
- Royal Oak, MI
National Provider Identifier
1023305315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- C514585441929
- Legal business name
- ORTHOKINECT LLC
- Practice address
- 332 E Lincoln Ave
Suite 150
Royal Oak, MI 48067-2700 - Phone
- (877) 322-3876
- NPI assigned
- Jul 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Campbell
- Title
- Ceo
- Phone
- (877) 322-3876
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | C514585441929 | MI | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
332 E Lincoln Ave
Suite 150
Royal Oak, MI 48067-2700
Mailing address
332 E Lincoln Ave
Suite 150
Royal Oak, MI 48067-2700
Phone (877) 322-3876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120323000127 | MI | DME Supplier - Medical Supply Company | 2769642040 | Practice locations: Royal Oak, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Orthokinect LLC | Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|Pneumatic Compression Devices and/or Supplies|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators… | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Orthokinect LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- West Chester, OH
- NPI 1396293973
Locations
960 E Maple Rd
Birmingham, MI 48009
Phone (877) 322-3876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708300800000",
"number": "1023305315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 E LINCOLN AVE",
"address_2": "SUITE 150",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480672700",
"telephone_number": "877-322-3876",
"fax_number": "248-928-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 E LINCOLN AVE",
"address_2": "SUITE 150",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480672700",
"telephone_number": "877-322-3876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOKINECT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-07",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "877-322-3876"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "C514585441929",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.