Level Four Orthotics & Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

NA Issued in NC

Legal business name

LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.

Practice address

1673 Westbrook Plaza Dr Ste 230
Winston Salem, NC 27103-3068

Phone

(336) 765-2425

Fax

(336) 765-8370

NPI assigned

Jun 14, 2005

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 6

Other names 1

• Restore POC Doing business as

Locations

Practitioners 2

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

• Stephen L Epperly, CO

  • Orthotist
  • Winston Salem, NC
  • NPI 1174719710
  NPD (past)
• Douglas Leclair, CO

  • Orthotist
  • Winston Salem, NC
  • NPI 1194070961
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1902801244",
    "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": "1673 WESTBROOK PLAZA DR STE 230",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033068",
            "telephone_number": "336-765-2425",
            "fax_number": "336-765-8370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1677 Westbrook Plaza Dr",
            "address_2": "SUITE 190",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033065",
            "country_code": "US",
            "telephone_number": "336-765-2425",
            "fax_number": "336-765-8370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "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": "NC",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0340W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902801244",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VA010052734",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LINKIA",
            "identifier": "LEVE9603-000",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703969",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "87738",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore POC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Hugh Lester, MA, LAT, ATC
• Kathy Jean Lestrange, PAC
• Gregory Letourneau IX, LCSW
• Letsnspire, Inc
• Jimmy Ching-Man Leung, MD
• Ashley G Levers, LMFT, PMH-C
• Melvin Nelson Levers III, PA-C
• Jason Levi
• Edward Allen Levine, MD
• Sophia Marie Raluca Levine, PA-C

• Prosthetic/Orthotic Supplier in Winston Salem, NC
• Providers in Winston Salem, 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 May 15, 2020; 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.