Otto Bock Patient Care, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

OTTO BOCK PATIENT CARE, LLC

Practice address

1455 Harden Street Ext
Columbia, SC 29201-1755

Phone

(803) 799-5063

NPI assigned

May 8, 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 SC

Enrollment records 1

These 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

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 6

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
  • Spartanburg, SC
  • NPI 1083304786
  NPD tax ID
• Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • Sumter, SC
  • NPI 1366132060
  NPD tax ID
• Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • Murrells Inlet, SC
  • NPI 1699465385
  NPD tax ID
• Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • Camden, SC
  • NPI 1730879420
  NPD tax ID
• Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • N Charleston, SC
  • NPI 1780374488
  NPD tax ID
• Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • Myrtle Beach, SC
  • NPI 1841980539
  NPD tax ID

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1801586581",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 HARDEN STREET EXT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011755",
            "telephone_number": "803-799-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO BOCK PATIENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "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": []
}

• Maja Osterman, MD
• Yenny Alexandra Otalora Rojas, MD
• Jennifer Bohnstadt Othersen, MD
• Pamela Ann Otoole, APRN
• Lannie Johnson Ott, LPC
• Olakumbi B Otulana, D.O.
• David Ouellet
• Our Hearts Homecare LLC
• Allison Outlaw
• Mary Outlaw

• Prosthetic/Orthotic Supplier in Columbia, SC
• Providers in Columbia, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.

Verify at the official NPI Registry.