Organization Active NPI

Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • Jonesboro, AR
National Provider Identifier
1073211728
Registry record updated Feb 22, 2023
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
820 Professional Acres Dr
Jonesboro, AR 72401-4340
Phone
(870) 932-6436
NPI assigned
Feb 22, 2023
Last updated
Feb 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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)CodeLicenseStatePrimary
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 LLC57 organizations share this tax ID, including this one

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.

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

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.

Verify at the official NPI Registry.