LEVEL FOUR ORTHOTICS AND PROSTHETICS (NPI# 1770130551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770130551 |
| Entity Type | Organization |
| Organization Name | LEVEL FOUR ORTHOTICS AND PROSTHETICS |
| Practice Address |
107 E Walker St East Flat Rock NC 28726-2235 |
| Mailing Address |
2534 Empire Dr Winston Salem NC 27103-6710 |
| Practice Telephone | 8285959371 |
| Practice Fax Number | 8285959373 |
| Mailing Telephone | 3363970993 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | JANET WOODALL (DIRECTOR OF CONTRACTING) |
| Authorized Official Telephone | 3363970993 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Restore POC | Doing Business As Name - Organization |
| Street Address |
107 E WALKER ST |
| City | EAST FLAT ROCK |
| State | NC |
| Zip Code | 28726-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447276639 | Footlogic, Inc. | Specialist | 107 E Walker St, East Flat Rock, NC 28726-2235 | 2006-07-14 |
| 1710221197 | Western Carolina O & P | Prosthetic/Orthotic Supplier | 107 E Walker St, East Flat Rock, NC 28726-2235 | 2012-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174827398 | Kelly Roberts Wiggen | Orthotic Fitter | 107 East Walker Street, East Flat Rock, NC 28726 | 2011-01-03 |
| 1801028378 | Michael Weston Huskey | Orthotist | 107 East Walker St., East Flat Rock, NC 28726 | 2009-08-18 |
| 1821266230 | Brian Lynn Wiggen II II | Orthotist | 107 East Walker St, East Flat Rock, NC 28726 | 2008-02-19 |
| 1013543446 | Tia Nicole Rudisill | Home Health Aide | 82 Johnnie Washington Dr, East Flat Rock, NC 28726-0280 | 2020-03-17 |
| 1740310051 | Vocational Solutions of Henderson County | Day Training, Developmentally Disabled Services | 2110 Spartanburg Hwy, East Flat Rock, NC 28726-2135 | 2007-03-06 |
| 1518331883 | Michael James Tui II | Counselor | 128 Upward Acres St, East Flat Rock, NC 28726-2234 | 2015-11-24 |
| 1871125088 | Amy Bracken, Pllc | Occupational Therapist | 212 S Hillandale Dr, East Flat Rock, NC 28726-2610 | 2020-02-05 |
| 1871873422 | Family Preservation Services of North Carolina, LLC Flat Rock Middle | Community/Behavioral Health | 191 Preston Ln, East Flat Rock, NC 28726-2865 | 2011-08-26 |
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710221197 | Western Carolina O & P | Prosthetic/Orthotic Supplier | 107 E Walker St, East Flat Rock, NC 28726-2235 | 2012-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970770 | Survivor Friendly LLC | Prosthetic/Orthotic Supplier | 527 Keisler Dr Ste 104, Cary, NC 27518-9306 | 2020-10-20 |
| 1154920395 | Anderson Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 307 W Tremont Ave Ste 200, Charlotte, NC 28203-4902 | 2020-10-20 |
| 1528666195 | Skyland Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 1141 Tunnel Rd Ste E, Asheville, NC 28805-2037 | 2020-10-15 |
| 1982202545 | Davidson Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 845 Church St N Ste 205, Concord, NC 28025-4374 | 2020-10-15 |
| 1891301156 | Tys Cranial Prothesis | Prosthetic/Orthotic Supplier | 2400 S Memorial Dr Ste 3b, Greenville, NC 27834-5031 | 2020-09-21 |
| 1124645882 | The Royal Stich By Melinda | Prosthetic/Orthotic Supplier | 8032 Black Forest Ln Apt 10103, Charlotte, NC 28277-6746 | 2020-06-29 |
| 1073134573 | Diva Salon By Veronica Ashley, Inc. | Prosthetic/Orthotic Supplier | 10901 University City Blvd Ste 108, Charlotte, NC 28213-9300 | 2020-05-06 |
| 1841819711 | Sc&f Enterprises, LLC | Prosthetic/Orthotic Supplier | 2187 Skibo Rd, Fayetteville, NC 28314-0264 | 2020-04-10 |
| 1457986499 | Lala Lashes Charlotte | Prosthetic/Orthotic Supplier | 2434 Shad Ct, Charlotte, NC 28208-3307 | 2020-03-10 |
| 1871125237 | Elite Hair Replacement Inc | Prosthetic/Orthotic Supplier | 2110 Fort Bragg Rd Ste 112, Fayetteville, NC 28303-7036 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
| City | EAST FLAT ROCK |
| Zip Code | 28726 |
Please comment or provide details below to improve the information on LEVEL FOUR ORTHOTICS AND PROSTHETICS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.