Active NPI
Orthopedic Brace Inc
- Prosthetic/Orthotic Supplier
- Rockledge, FL
National Provider Identifier
1346283850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- ORT 55
- Legal business name
- ORTHOPEDIC BRACE INC
- Practice address
- 836 Executive LN
Suite 110
Rockledge, FL 32955-3597 - Phone
- (321) 639-0277
- Fax
- (321) 639-0143
- NPI assigned
- Jun 13, 2006
- 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
- Ms. Karen S Wilkins, C.O.
- Title
- President
- Phone
- (321) 639-0277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | ORT 55 | FL | Primary |
Addresses
Primary practice location
836 Executive LN
Suite 110
Rockledge, FL 32955-3597
Mailing address
500 N Washington Ave Ste 104
Titusville, FL 32796-2759
Phone (321) 639-0277
National Provider Directory
National Provider DirectoryLocations
500 N Washington Ave
Ste 104
Titusville, FL 32796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346283850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N WASHINGTON AVE STE 104",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962759",
"telephone_number": "321-639-0277",
"fax_number": "321-639-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 EXECUTIVE LN",
"address_2": "SUITE 110",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553597",
"telephone_number": "321-639-0277",
"fax_number": "321-639-0143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC BRACE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILKINS",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-639-0277",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "C.O."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "FL",
"license": "ORT 55",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.