Organization Active NPI

Owens Carolina Orthotic & Prosthetic Network, Inc.

  • Customized Equipment (DME)
  • Charlotte, NC
National Provider Identifier
1881643807
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
OWENS CAROLINA ORTHOTIC & PROSTHETIC NETWORK, INC.
Doing business as
Owens Carolina
Practice address
3535 Randolph Rd Ste 210
Charlotte, NC 28211-5027
Phone
(704) 332-5143
Fax
(866) 670-5370
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Susan Wallace
Title
Administrator
Phone
(704) 332-5143

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

3535 Randolph Rd Ste 210
Charlotte, NC 28211-5027

Mailing address

PO Box 1268
Fort Mill, SC 29716-1268
Phone (704) 332-5143

Other practice location 1

998 Riverwalk Pkwy Ste 205
Rock Hill, SC 29730-0117
Phone (704) 332-5143

Other identifiers 1

IdentifierTypeStateIssuer
7705024MedicaidNC

Other names 2

  • Owens Carolina Doing business as
  • Carolina Brace Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930075819 NC DME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Prosthetic Personnel 0345367447 Practice locations: Charlotte, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Owens Carolina Orthotic & Prostheti3535 Randolph Rd, Charlotte, NC 28211-5027(704) 332-5143 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory
Tax ID family
Owens Carolina2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1500 E 4th St
Charlotte, NC 28204
Phone (704) 332-5143

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1881643807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297161268",
            "telephone_number": "704-332-5143",
            "fax_number": "866-670-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 RANDOLPH RD STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115027",
            "telephone_number": "704-332-5143",
            "fax_number": "866-670-5370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "998 Riverwalk Pkwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297300117",
            "country_code": "US",
            "telephone_number": "704-332-5143",
            "fax_number": "866-670-5370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OWENS CAROLINA ORTHOTIC & PROSTHETIC NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-332-5143"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7705024",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owens Carolina",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Owens Carolina",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolina Brace",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.