Active NPI
Carolina Orthotics and Prosthetics LLC
- Prosthetic/Orthotic Supplier
- Myrtle Beach, SC
National Provider Identifier
1588085583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- CAROLINA ORTHOTICS AND PROSTHETICS LLC
- Practice address
- 1294 Professional Dr
Suite B
Myrtle Beach, SC 29577-5753 - Phone
- (843) 497-9558
- Fax
- (843) 497-9130
- NPI assigned
- Dec 18, 2013
- 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
- David Vick
- Title
- Coo
- Phone
- (843) 577-9577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1294 Professional Dr
Suite B
Myrtle Beach, SC 29577-5753
Mailing address
4975 Lacross Rd Ste 314
North Charleston, SC 29406-6531
Phone (843) 577-9577
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645574400000",
"number": "1588085583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4975 LACROSS RD STE 314",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294066531",
"telephone_number": "843-577-9577",
"fax_number": "843-718-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1294 PROFESSIONAL DR",
"address_2": "SUITE B",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775753",
"telephone_number": "843-497-9558",
"fax_number": "843-497-9130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA ORTHOTICS AND PROSTHETICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-18",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A",
"authorized_official_last_name": "VICK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "843-577-9577"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
- Carolina Health and Recovery
- Carolina Health Pharmacy LLC
- Carolina Orthopaedic Specialists
- Carolina Orthotics & Prosthetics of MB LLC
- Carolina Orthotics & Prosthetics of Myrtle Beach LLC
- Carolina Pain and Wellness Inc
- Carolina Pediatric Therapy
- Carolina Pediatric Therapy Inc
- Carolina Regional Cancer Center LLC
- Carolina Regional Surgery Center. LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.