Ortho Kickz

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ORTHO KICKZ

Practice address

20 Towne Dr
Bluffton, SC 29910-4204

Phone

(404) 341-1500

NPI assigned

Dec 4, 2014

Organization subpart

No

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

Authorized official

Name

Mick Henderson

Title

Owner

Phone

(404) 341-1500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1386041465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TOWNE DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104204",
            "telephone_number": "404-341-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TOWNE DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104204",
            "telephone_number": "404-341-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO KICKZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-341-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher M Opella, M.D.
• Optim Orthopedics, LLC
• Optimal Hearing Systems, LLC
• Orion Adult Day Center, Inc.
• Haley Orr
• Orthopedic Associates of the Lowcountry, LLC
• Orthopedic Associates of the Lowcountry, LLC
• Orthopedic Center PC
• Orthosport Physical Therapy, LLC
• Heather Oser, M.A. CCC-SLP

• Durable Medical Equipment & Medical Supplies in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.