Active NPI
Kenney Orthopedics of Monroe, LLC
- Prosthetic/Orthotic Supplier
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- KENNEY ORTHOPEDICS OF MONROE, LLC
- Practice address
- 3816 Latrobe Dr Ste 103
Charlotte, NC 28211-1373 - Phone
- (704) 247-4134
- Fax
- (704) 257-8001
- NPI assigned
- Jun 7, 2019
- Organization subpart
- Yes
- Parent organization
- HANGER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grace Angeline
- Title
- Regulatory Compliance Analyst II
- Phone
- (714) 961-2102
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
3816 Latrobe Dr Ste 103
Charlotte, NC 28211-1373
Mailing address
PO Box 650846
Dallas, TX 75265-0846
Other names 1
- Hanger Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200519000290 | NC | DME Supplier - Orthotic Personnel | 3476803156 | Practice locations: Charlotte, NC |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Kenney Orthopedics of Monroe LLC | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Hanger Clinic
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Monroe, NC
- NPI 1326385949
-
- Prosthetic/Orthotic Supplier
- Monroe, NC
- NPI 1942790431
Member organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Mooresville, NC
- NPI 1922341544
Member Of
Locations
135 S Sharon Amity Rd
Ste 202
Charlotte, NC 28211
3816 Latrobe Dr
Charlotte, NC 28211
Phone (704) 612-4955
3816 Latrobe Dr
Ste 103
Charlotte, NC 28211
Phone (704) 247-4134
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthotist
- Charlotte, NC
- NPI 1972315224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744243200000",
"number": "1770142390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650846",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 LATROBE DR STE 103",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111373",
"telephone_number": "704-247-4134",
"fax_number": "704-257-8001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNEY ORTHOPEDICS OF MONROE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HANGER INC",
"enumeration_date": "2019-06-07",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A",
"authorized_official_last_name": "ANGELINE",
"authorized_official_first_name": "GRACE",
"authorized_official_title_or_position": "REGULATORY COMPLIANCE ANALYST II",
"authorized_official_telephone_number": "714-961-2102"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hanger Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.