Organization Active NPI

Level Four Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Raleigh, NC
National Provider Identifier
1790017929
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.
Doing business as
Restore POC
Practice address
5613 Duraleigh Rd
Raleigh, NC 27612-2694
Phone
(919) 851-7385
Fax
(919) 851-7387
NPI assigned
Feb 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Janet Woodall
Title
Director, Contracting
Phone
(336) 397-0993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

5613 Duraleigh Rd
Raleigh, NC 27612-2694

Mailing address

2534 Empire Dr
Winston Salem, NC 27103-6710
Phone (336) 397-2165

Other identifiers 1

IdentifierTypeStateIssuer
1790017929MedicaidNC

Other names 1

  • Restore POC Doing business as

National Provider Directory

National Provider Directory

Locations

5613 Duraleigh Rd
Raleigh, NC 27612
Phone (919) 851-7385

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1790017929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 EMPIRE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036710",
            "telephone_number": "336-397-2165",
            "fax_number": "336-397-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 DURALEIGH RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122694",
            "telephone_number": "919-851-7385",
            "fax_number": "919-851-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "WOODALL",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "DIRECTOR, CONTRACTING",
        "authorized_official_telephone_number": "336-397-0993"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790017929",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore POC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.