Level Four Orthotics & Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.

Doing business as

Restore POC

Practice address

715 Fairgrove Church Rd SE
Suite 203
Conover, NC 28613-9290

Phone

(828) 328-5347

Fax

(828) 328-4405

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Addresses

Other identifiers 4

Other names 1

• Restore POC Doing business as

Locations

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1861456691",
    "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": "715 FAIRGROVE CHURCH RD SE",
            "address_2": "SUITE 203",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139290",
            "telephone_number": "828-328-5347",
            "fax_number": "828-328-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "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": "7704468",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861456691",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LINKIA",
            "identifier": "LEVE9603-003",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0340W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore POC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Lands, PA
• Thomas F Laney Jr., MD
• Bee Lao
• Larissa M. Mastro, DDS, P.a.
• Melissa Leonhardt, MA
• Lewis Mobile Home Buys LLC
• Derris Lequise Lewis
• Ilse Limon-Garcia, MSW
• Living Waters Agency LLC
• Londry & Modlin II DDS PLLC

• Prosthetic/Orthotic Supplier in Conover, NC
• Providers in Conover, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• 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.