OTTO BOCK ORTHOPEDIC SERVICES LLC (NPI# 1801375399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801375399 |
| Entity Type | Organization |
| Organization Name | OTTO BOCK ORTHOPEDIC SERVICES LLC |
| Practice Address |
101 W Ridgely Rd Ste 7b Lutherville MD 21093-5130 |
| Mailing Address |
11501 Alterra Pkwy Ste 600 Austin TX 78758-3597 |
| Practice Telephone | 8007368276 |
| Mailing Telephone | 8007368276 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | SHARON CLARK (NATIONAL CONTRACT MANAGER) |
| Authorized Official Telephone | 5128062879 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325272 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 547 N Mount Juliet Rd Ste 295, Mt Juliet, TN 37122-8318 | 2020-01-13 |
| 1447712146 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 70 Glen St Ste 230, Glen Cove, NY 11542-2854 | 2019-04-02 |
| 1376004614 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2780 S Jones Blvd Ste 140, Las Vegas, NV 89146-5641 | 2019-03-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1598258378 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 5601 Nw 72nd Street, Suite 257, Oklahoma City, OK 73132-5920 | 2018-06-07 |
| 1891244711 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 200 W Higgins Rd Ste 202, Schaumburg, IL 60195-3724 | 2016-10-04 |
| 1114388394 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 7131 Spring Meadows W Dr, Suite E-1, Holland, OH 43528-7939 | 2016-03-15 |
| 1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1740685437 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 1012 N Bethlehem Pike, Suite G, Spring House, PA 19002-2176 | 2014-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | OTTO BOCK ORTHOPEDIC SERVICES LLC | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
| New York State Corporations | OTTO BOCK ORTHOPEDIC SERVICES LLC | 80 State Street, Albany, New York 12207-2543 |
| Oregon Corporations, Companies and Business Names | OTTO BOCK ORTHOPEDIC SERVICES LLC | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
| Colorado Business Entities | Otto Bock Orthopedic Services LLC | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
| Washington State Corporations | OTTO BOCK ORTHOPEDIC SERVICES LLC | 11501 Alterra Pkwy, Suite 600, Austin, TX 78758-3597 |
| Vermont Business Registrations | OTTO BOCK ORTHOPEDIC SERVICES LLC | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
| Massachusetts Corporations | OTTO BOCK ORTHOPEDIC SERVICES LLC | 11501 Alterra Parkway, Domain 7, Suite 600, Austin, TX 78758 |
| Oklahoma Business Registrations | OTTO BOCK ORTHOPEDIC SERVICES LLC | Two Carlson Parkway N #100, Plymouth, MN 55447 |
| Indiana Business Entities | OTTO BOCK ORTHOPEDIC SERVICES LLC | 11501 Alterra Parkway, Domain 7, Suite 600, Austin, TX 78758 |
| Virginia Business Entities | Otto Bock Orthopedic Services LLC | 11501 Alterra Parkway, Domain 7 Suite 600, Austin, Texas 78758 |
| Street Address |
101 W RIDGELY RD STE 7B |
| City | LUTHERVILLE |
| State | MD |
| Zip Code | 21093-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| 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 |
|---|---|---|---|---|
| 1174146153 | Rehabilitation and Wellness Associates | Prosthetic/Orthotic Supplier | 3333 N Calvert St Ste 585, Baltimore, MD 21218-6514 | 2020-05-25 |
| 1134755218 | Dope Beauty Bar | Prosthetic/Orthotic Supplier | 1459 Light St Ste 1, Baltimore, MD 21230-4549 | 2020-03-20 |
| 1306470687 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4600 Wilkens Ave Ste 105, Baltimore, MD 21229-4843 | 2020-02-26 |
| 1740823913 | Select Physical Therapy Holdings, Inc. | Prosthetic/Orthotic Supplier | 1305 S Salisbury Blvd Ste 5, Salisbury, MD 21801-6845 | 2019-10-21 |
| 1225697303 | Tonya Tennelle Briggs | Prosthetic/Orthotic Supplier | 5853 York Rd, Baltimore, MD 21212-3613 | 2019-06-11 |
| 1851861389 | Pink Couture Hair | Prosthetic/Orthotic Supplier | 4316 Hamilton St, Hyattsville, MD 20781-1938 | 2018-11-27 |
| 1174004535 | Crystal Angela White | Prosthetic/Orthotic Supplier | 11006 Spring Forest Way, Fort Washington, MD 20744-4877 | 2018-08-23 |
| 1205338860 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10750 Columbia Pike Ste 100, Silver Spring, MD 20901-4402 | 2018-02-28 |
| 1114426624 | Inarbi Enterprise Inc | Prosthetic/Orthotic Supplier | 739 W Pratt St Ste C, Baltimore, MD 21201-1167 | 2018-02-09 |
| 1609389725 | Emerge Empowerment Movement | Prosthetic/Orthotic Supplier | 872 Largo Center Dr, Largo, MD 20774-3705 | 2017-11-10 |
| Find all providers with the same taxonomy | ||||
| City | LUTHERVILLE |
| Zip Code | 21093 |
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| 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.