Active NPI
Otto Bock Patient Care, LLC
- Prosthetic/Orthotic Supplier
- Mechanicsburg, PA
National Provider Identifier
1487367108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- OTTO BOCK PATIENT CARE, LLC
- Practice address
- 2005 Technology Pkwy Ste 200
Mechanicsburg, PA 17050-9413 - Phone
- (717) 458-8429
- NPI assigned
- Dec 27, 2022
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Pallavi Nemani
- Title
- Compliance Officer
- Phone
- (512) 552-6311
Corporate family (same tax ID) 7
Organizations that report the same tax identification number in the National Provider Directory.
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- Prosthetic/Orthotic Supplier
- Royersford, PA
- NPI 1013620897
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- Prosthetic/Orthotic Supplier
- Hanover, PA
- NPI 1275246050
-
- Prosthetic/Orthotic Supplier
- York, PA
- NPI 1316651458
-
- Prosthetic/Orthotic Supplier
- Exton, PA
- NPI 1528770518
-
- Prosthetic/Orthotic Supplier
- Harrisburg, PA
- NPI 1679286496
-
- Prosthetic/Orthotic Supplier
- Lancaster, PA
- NPI 1841903663
-
- Prosthetic/Orthotic Supplier
- Wyomissing, PA
- NPI 1962116004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230503000520 | PA | DME Supplier - Certified Orth/Pros/Pedorthist | 2668804667 | Practice locations: Mechanicsburg, PA |
National Provider Directory
National Provider Directory- Tax ID family
- Otto Bock Patient Care LLC
Locations
2005 Technology Pkwy
Ste 200
Mechanicsburg, PA 17050
Phone (717) 458-8429
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2005 Technology Pkwy Ste 200
Mechanicsburg, PA 17050-9413
Mailing address
11809 Domain Dr Unit 100
Austin, TX 78758-3452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 27, 2022.
{
"created_epoch": "1672099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672099200000",
"number": "1487367108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11809 DOMAIN DR UNIT 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787583452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 TECHNOLOGY PKWY STE 200",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170509413",
"telephone_number": "717-458-8429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTTO BOCK PATIENT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-27",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A",
"authorized_official_last_name": "NEMANI",
"authorized_official_first_name": "PALLAVI",
"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": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.