Wilmington Orthotics & Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

WILMINGTON ORTHOTICS & PROSTHETICS, INC.

Practice address

3909 Oleander Dr Ste E
Wilmington, NC 28403-6714

Phone

(910) 395-5775

Fax

(910) 395-5773

NPI assigned

Nov 1, 2006

Last updated

Apr 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mariska TruesdaleNPI 1669686077

Title

Business Manager

Phone

(910) 395-5775

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mariska Charlene Truesdale, P.T., CFM

  • Mastectomy Fitter
  • Wilmington, NC
  • NPI 1669686077
  NPD Authorized official
• Ashley Oliver Morton, CPED, RPT

  • Orthotic Fitter
  • Wilmington, NC
  • NPI 1699098392
  NPD (past)
• Jon F Rice, CPO

  • Prosthetist
  • Wilmington, NC
  • NPI 1598747685

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1881771640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 OLEANDER DR STE E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036714",
            "telephone_number": "910-395-5775",
            "fax_number": "910-395-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 OLEANDER DR STE E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036714",
            "telephone_number": "910-395-5775",
            "fax_number": "910-395-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "TRUESDALE",
        "authorized_official_first_name": "MARISKA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "910-395-5775",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701282",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC PROVIDER NUMBE",
            "identifier": "0472",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilmington NC Opco LLC (August Healthcare at Wilmington)
• Wilmington NC Taxi LLC
• Wilmington Neurofeedback LLC
• Wilmington Optical
• Wilmington Optometry, PA
• Wilmington Pathology Associates PA
• Wilmington Pathology Associates PA
• Wilmington Pathology Laboratory Inc
• Wilmington Physical Therapy Inc
• Wilmington Plastic Surgery Specialists, P.a.

• Prosthetic/Orthotic Supplier in Wilmington, NC
• Providers in Wilmington, 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 Apr 13, 2022; 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.