Active NPI
Otto Bock Patient Care, LLC
- Prosthetic/Orthotic Supplier
- Jonesboro, AR
National Provider Identifier
1073211728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- OTTO BOCK PATIENT CARE, LLC
- Practice address
- 820 Professional Acres Dr
Jonesboro, AR 72401-4340 - Phone
- (870) 932-6436
- NPI assigned
- Feb 22, 2023
- Last updated
- Feb 22, 2023
- 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
- Pallavi Chintapalli Nemani
- Title
- Compliance Officer
- Phone
- (512) 552-6311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
820 Professional Acres Dr
Jonesboro, AR 72401-4340
Mailing address
11809 Domain Dr Unit 400
Austin, TX 78758-3452
Phone (800) 328-4058
National Provider Directory
National Provider Directory- Tax ID family
- Otto Bock Patient Care LLC
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Prosthetic/Orthotic Supplier
- Harrison, AR
- NPI 1629776687
-
- Prosthetic/Orthotic Supplier
- Jonesboro, AR
- NPI 1902504970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677024000000",
"number": "1073211728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11809 DOMAIN DR UNIT 400",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787583452",
"telephone_number": "800-328-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 PROFESSIONAL ACRES DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014340",
"telephone_number": "870-932-6436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTTO BOCK PATIENT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-22",
"last_updated": "2023-02-22",
"certification_date": "2023-02-20",
"status": "A",
"authorized_official_last_name": "NEMANI",
"authorized_official_first_name": "PALLAVI",
"authorized_official_middle_name": "CHINTAPALLI",
"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 Jonesboro, AR
- Olivia Katharina Ostermann, DO
- Chioma Orie Ota, LCSW
- Chukwuemeka I Ota
- Otolaryngology and Facial Surgery Center of Northeast Ark PA (Ofsc)
- Ernest Ott, CRNA
- Otto Bock Patient Care, LLC
- Ruby Lee Outley, MHPP
- Outpatient Surgery Center of Jonesboro LLC
- Overcoming: a Private Therapy Practice, LLC
- Jmes Overley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.