Active NPI
Carolina Orthotics and Prosthetics LLC
- Prosthetic/Orthotic Supplier
- Columbia, SC
National Provider Identifier
1861813867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- CAROLINA ORTHOTICS AND PROSTHETICS LLC
- Practice address
- 1455 Harden Street Ext
Columbia, SC 29201-1755 - Phone
- (803) 799-5063
- Fax
- (803) 252-0872
- NPI assigned
- Dec 18, 2013
- Last updated
- Feb 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Vick
- Title
- Coo
- Phone
- (843) 577-9577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
1455 Harden Street Ext
Columbia, SC 29201-1755
Mailing address
4975 Lacross Rd Ste 314
North Charleston, SC 29406-6531
Phone (843) 577-9577
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Carolina-Walk Orthotics and Prosthetics
- Prosthetic/Orthotic Supplier
- Hardeeville, SC
- NPI 1265669857
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645574400000",
"number": "1861813867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4975 LACROSS RD STE 314",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294066531",
"telephone_number": "843-577-9577",
"fax_number": "843-718-1438"
},
{
"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",
"fax_number": "803-252-0872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA ORTHOTICS AND PROSTHETICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-18",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A",
"authorized_official_last_name": "VICK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "843-577-9577"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Carolina Occupational Healthcare
- Carolina Orthodontics and Pediatric Dentistry
- Carolina Orthopaedic and Sports Medicine, P.a.
- Carolina Orthopaedic Clinic, PC (Carolina Shoulder & Knee Specialists)
- Carolina Orthopaedic Clinic, PC (Carolina Shoulder & Knee Specialists)
- Carolina Pain Solutions, LLC
- Carolina Pediatrics & Adolescent Care, PA
- Carolina Pediatrics and Adolescent Care, PA (Carolina Pediatrics PA)
- Carolina Physical Therapy and Sports Medicine Limited Partnership
- Carolina Physical Therapy and Sports Medicine, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.