Organization Active NPI

Center for Orthotic and Prosthetic Care of Ky, LLC

  • Prosthetic/Orthotic Supplier
  • Shelbyville, KY
National Provider Identifier
1083944672
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
NA Issued in KY
Legal business name
CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF KY, LLC
Doing business as
Center for Orthotic & Prosthetic Care
Practice address
130 Stonecrest Rd
Suite 104
Shelbyville, KY 40065-8126
Phone
(502) 899-9221
Fax
(502) 899-9468
NPI assigned
Jan 5, 2010
Organization subpart
Yes
Parent organization
HANGER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Grace Angeline
Title
Reg Compliance Specialist III
Phone
(714) 961-2102

Specialties & licenses 1

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

Addresses

Primary practice location

130 Stonecrest Rd
Suite 104
Shelbyville, KY 40065-8126

Mailing address

P O Box 650846
Suite 100
Dallas, TX 75265-0846

Other identifiers 2

IdentifierTypeStateIssuer
90351560MedicaidKY
200124260AMedicaidIN

Other names 1

  • Center for Orthotic & Prosthetic Care Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1083944672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 650846",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 STONECREST RD",
            "address_2": "SUITE 104",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658126",
            "telephone_number": "502-899-9221",
            "fax_number": "502-899-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF KY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2010-01-05",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "REG COMPLIANCE SPECIALIST III",
        "authorized_official_telephone_number": "714-961-2102"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KY",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90351560",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200124260A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Orthotic & Prosthetic Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Orthotic & Prosthetic Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.