Otto Bock Patient Care, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

OTTO BOCK PATIENT CARE, LLC

Practice address

4460 Commerce Dr
Buford, GA 30518-3489

Phone

(770) 271-5581

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These 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

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 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • Atlanta, GA
  • NPI 1275234445
  NPD tax ID
• Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • Gainesville, GA
  • NPI 1386345585
  NPD tax ID
• Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • Conyers, GA
  • NPI 1558062729
  NPD tax ID
• Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • Newnan, GA
  • NPI 1669333076
  NPD tax ID
• Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • Stockbridge, GA
  • NPI 1760183966
  NPD tax ID

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1285335455",
    "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": "4460 COMMERCE DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183489",
            "telephone_number": "770-271-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO BOCK PATIENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ortho Sport & Spine Physicians Buford
• Tolulope A Osemwegie, LPC
• Osprey Pharmacy RX Corp
• Benjamin Otiwu
• Justin Otiwu
• Overcomers Youth Residential Home
• Lisa Zainab Owusus Mensah, RN
• Owa I Oyibo, RN
• David Ray Paek, PT, DPT
• Shaina Maria Page, LCSW

• All providers in Buford, GA
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.

Verify at the official NPI Registry.