Original Ortho Back-Up, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ORIGINAL ORTHO BACK-UP, LLC

Practice address

4377 Commercial Way
127
Spring Hill, FL 34606-1963

Phone

(877) 756-7846

Fax

(210) 855-4236

NPI assigned

Oct 28, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Eric Ritter

Title

Managing Member

Phone

(877) 756-7846

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1811297583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4377 COMMERCIAL WAY",
            "address_2": "127",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061963",
            "telephone_number": "877-756-7846",
            "fax_number": "210-855-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4377 COMMERCIAL WAY",
            "address_2": "127",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061963",
            "telephone_number": "877-756-7846",
            "fax_number": "210-855-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINAL ORTHO BACK-UP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "RITTER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "877-756-7846",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.