Active NPI
Otto Bock Patient Care, LLC
- Prosthetic/Orthotic Supplier
- Asheville, NC
National Provider Identifier
1205540242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- OTTO BOCK PATIENT CARE, LLC
- Practice address
- 3 Walden Ridge Dr Ste 400
Asheville, NC 28803-8587 - Phone
- (828) 252-0331
- NPI assigned
- Jan 12, 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 Nemani
- Title
- Compliance Officer
- Phone
- (512) 552-6311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
3 Walden Ridge Dr Ste 400
Asheville, NC 28803-8587
Mailing address
11809 Domain Dr Unit 400
Austin, TX 78758-3452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230412003210 | NC | DME Supplier - Orthotic Personnel | 2668804667 | Practice locations: Asheville, NC |
National Provider Directory
National Provider Directory- Tax ID family
- Otto Bock Patient Care LLC
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Prosthetic/Orthotic Supplier
- Charlotte, NC
- NPI 1417876699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673481600000",
"number": "1205540242",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WALDEN RIDGE DR STE 400",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288038587",
"telephone_number": "828-252-0331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTTO BOCK PATIENT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A",
"authorized_official_last_name": "NEMANI",
"authorized_official_first_name": "PALLAVI",
"authorized_official_title_or_position": "COMPLIANCE OFFICER",
"authorized_official_telephone_number": "512-552-6311"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.