Level Four Orthotics & Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.

Doing business as

Restore POC

Practice address

3250 Harden Street Ext Ste 200
Columbia, SC 29203

Phone

(803) 939-0097

Fax

(803) 939-1103

NPI assigned

Dec 21, 2012

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 1

Other names 1

• Restore POC Doing business as

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1992041867",
    "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": "3250 HARDEN STREET EXT STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-939-0097",
            "fax_number": "803-939-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2019-07-23",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE3498",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore POC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamine Ladd Leslie, LISW-CP
• Aluana Latrice Lester, RN
• Mary Kathryn Lethco, FNP
• Jessica Leto
• Level Four Orthotics & Prosthetics, Inc.
• Zaniyah Levell
• Victoria Lane Leventis-Shew, D.O.
• Alyssa Lever, RN
• Holly W Lever
• Michael Cory Lever, MD

• Prosthetic/Orthotic Supplier in Columbia, SC
• Providers in Columbia, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.