Center for Orthotic and Prosthetic Care of Kentucky LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

N/A Issued in KY

Legal business name

CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF KENTUCKY LLC

Practice address

315 E Broadway
Suite 1400
Louisville, KY 40202-3700

Phone

(502) 629-8640

Fax

(502) 629-5527

NPI assigned

Sep 16, 2006

Organization subpart

Yes

Parent organization

HANGER INCAs reported in NPPES

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

Authorized official

Name

Grace Angeline

Title

Reg Compliance Specialist III

Phone

(714) 961-2102

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Hanger Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Center for Orthotic and Prosthetic Care of Kentucky LLC

  • Prosthetic/Orthotic Supplier
  • Elizabethtown, KY
  • NPI 1033370309

  1254452253

  Same PAC ID

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

Tax ID family

Center for Orthotic and Prosthetic Care of Kentucky LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Center for Orthotic & Prosthetic Care of Ky, LLC

  • Prosthetic/Orthotic Supplier
  • Frankfort, KY
  • NPI 1437279106
  NPD tax ID
• Center for Orthotic & Prosthetic Care of Ky, LLC

  • Prosthetic/Orthotic Supplier
  • Lexington, KY
  • NPI 1457488876
  NPD tax ID
• Center for Orthotic and Prosthetic Care of Kentucky LLC

  • Prosthetic/Orthotic Supplier
  • Elizabethtown, KY
  • NPI 1033370309
  NPD tax ID
• Center for Orthotic and Prosthetic Care of Ky, LLC

  • Prosthetic/Orthotic Supplier
  • Chattanooga, TN
  • NPI 1225162548
  NPD tax ID
• Center for Orthotic and Prosthetic Care of Ky, LLC

  • Prosthetic/Orthotic Supplier
  • Bluefield, WV
  • NPI 1891829123
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hanger Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Gainesville, GA
  • NPI 1659443380

  Member Of

  NPD member

Locations

Practitioners 1

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

• Billy Ray Campbell III, CPED, CFO

  • Orthotic Fitter
  • Louisville, KY
  • NPI 1750822771
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1972609832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E BROADWAY",
            "address_2": "SUITE 1400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023700",
            "telephone_number": "502-629-8640",
            "fax_number": "502-629-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF KENTUCKY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2006-09-16",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "REG COMPLIANCE SPECIALIST III",
        "authorized_official_telephone_number": "714-961-2102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KY",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200124260A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90351560",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1050355",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanger Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Center for Comprehensive Services, Inc
• Center for Comprehensive Services, Inc Dba Neurorestorative Kentucky
• Center for Foot & Ankle Wellness PLLC
• Center for Orthotic and Prosthetic Care of Kentucky LLC
• Center for Orthotic and Prosthetic Care of Kentucky LLC
• Centerpointe Health LLC
• Centerwell Certified Healthcare Corp.
• Centerwell Senior Primary Care (Ky) PSC
• Centerwell Senior Primary Care Ky PSC
• Centerwell Senior Primary Care Ky PSC

• Prosthetic/Orthotic Supplier in Louisville, KY
• Providers in Louisville, KY by specialty
• Prosthetic/Orthotic Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.