Otto Bock Patient Care, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

OTTO BOCK PATIENT CARE, LLC

Practice address

2058 S Dobson Rd Ste 17
Mesa, AZ 85202-6456

Phone

(480) 969-3999

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Pallavi Chintapalli Nemani

Title

Compliance Officer

Phone

(512) 552-6311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Otto Bock Patient Care LLC57 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • Phoenix, AZ
  • NPI 1760180731
  NPD tax ID

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1689372658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11809 DOMAIN DR UNIT 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583452",
            "telephone_number": "800-328-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 S DOBSON RD STE 17",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026456",
            "telephone_number": "480-969-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO BOCK PATIENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "NEMANI",
        "authorized_official_first_name": "PALLAVI",
        "authorized_official_middle_name": "CHINTAPALLI",
        "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": []
}

• Kristen Ota, PHARMD
• Otium Hospice Inc
• Renee Kathleen Otte, RN
• Sarah Frederike Otter, DO
• Elizabeth Ann Ottney, DO
• Michone Ouellette, D.C.
• Robert Ouimette, LMSW
• Outreach Health LLC
• Michael Overman, LMT
• Jordan Richard Overstreet

• Prosthetic/Orthotic Supplier in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Prosthetic/Orthotic Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.

Verify at the official NPI Registry.