Orthotics at Home, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

NONE REQUIRED Issued in AR

Legal business name

ORTHOTICS AT HOME, INC

Practice address

6001 Nighthawk Rd
North Little Rock, AR 72118-1733

Phone

(501) 803-3555

Fax

(501) 803-9555

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Patrick K McNally, CPO, FAAOP

Title

President

Phone

(501) 803-3555

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

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

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942378328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 NIGHTHAWK RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721181733",
            "telephone_number": "501-803-3555",
            "fax_number": "501-803-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 NIGHTHAWK RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721181733",
            "telephone_number": "501-803-3555",
            "fax_number": "501-803-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTICS AT HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCNALLY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-803-3555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, FAAOP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AR",
            "license": "NONE REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148334716",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "49862",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaliyah M Orloff
• Gray Matthew Orman, MD
• Nola Ornelas
• Orthoarkansas, PA
• Orthoarkansas, PA
• Tammy Osborn
• Kathryn Osment
• Paul Zachary Ottis, M.D.
• Jessalyn Otwell, OT
• Jackson McNair Oulch, LAC

• Customized Equipment (DME) in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Customized Equipment (DME) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.