Center for Orthotic and Prosthetic Care of Kentucky LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF KENTUCKY LLC

Practice address

4975 Alben Barkley Dr
Suite 2
Paducah, KY 42001-6722

Phone

(270) 558-4704

Fax

(270) 558-4719

NPI assigned

Aug 5, 2014

Organization subpart

Yes

Parent organization

HANGER INCAs reported in NPPES

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

Authorized official

Name

Grace Angeline

Title

Reg Compliance Specialist III

Phone

(714) 961-2102

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hanger Prosthetics & Orthotics Inc

  dba Hanger Clinic

  • Prosthetic/Orthotic Supplier
  • Gainesville, GA
  • NPI 1659443380

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Billy Ray Campbell III, CPED, CFO

  • Orthotic Fitter
  • Louisville, KY
  • NPI 1750822771
  NPD (past)

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1750790689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 ALBEN BARKLEY DR",
            "address_2": "SUITE 2",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016722",
            "telephone_number": "270-558-4704",
            "fax_number": "270-558-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF KENTUCKY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2014-08-05",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "REG COMPLIANCE SPECIALIST III",
        "authorized_official_telephone_number": "714-961-2102"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T. Cecil Jr., M.D.
• Sara Lynnea Cederstrand, MD
• Center for Comprehensive Services, Inc
• Center for Comprehensive Services, Inc (NeuroRestorative Kentucky)
• Center for Comprehensive Services, Inc.
• Jonathan Lyons Chadwick, MD
• Kala Chakradhar, PH.D
• Chalke Chiropractic PSC
• David Stewart Chalke, DC
• Naathan Chandra, PHARMD

• Prosthetic/Orthotic Supplier in Paducah, KY
• Providers in Paducah, KY by specialty
• Prosthetic/Orthotic Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.