Organization Active NPI

Orthopedic Brace Inc

  • Prosthetic/Orthotic Supplier
  • Rockledge, FL
National Provider Identifier
1346283850
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
ORT 55 Issued in FL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.