Orthotechnik LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ORTHOTECHNIK LLC

Practice address

167 South Ave SE
Marietta, GA 30060-2378

Phone

(770) 590-8233

Fax

(404) 583-5963

NPI assigned

Dec 30, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Brian Walter Maloney, JD

Title

Director of Business Development

Phone

(770) 590-8233

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1447520986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 SOUTH AVE SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602378",
            "telephone_number": "770-590-8233",
            "fax_number": "404-583-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 SOUTH AVE SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602378",
            "telephone_number": "770-590-8233",
            "fax_number": "404-583-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTECHNIK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "770-590-8233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Marietta, GA
• Providers in Marietta, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.