OTTO BOCK HEALTHCARE LP (NPI# 1386791937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386791937 |
Entity Type | Organization |
Organization Name | OTTO BOCK HEALTHCARE LP |
Practice Address |
18 Racetrack Rd Nw Fort Walton Beach FL 32547-1642 |
Mailing Address |
Two Carlson Pkwy Ste 100 Attn Sharon Clark Contracts Minneapolis MN 55447-4467 |
Practice Telephone | 8508622058 |
Practice Fax Number | 8662978479 |
Mailing Telephone | 7632535679 |
Mailing Fax Number | 7632535779 |
Enumeration Date | 2007-01-05 |
Last Update Date | 2008-07-07 |
Authorized Official Name | SHARON KAY CLARK (PAYOR RELATIONS & CONTRACT ADMIN) |
Authorized Official Telephone | 7632535679 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1312858 | FL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | AETNA NONHMO PIN # | 7850253 | 01 |
FL | CARECENTRIX PIN # | 1220 | 01 |
FL | NORTHWOOD NPN PIN # | 82108 | 01 |
FL | ACM PIN # | 1030060 | 01 |
FL | AVMED PIN # | 296648 | 01 |
FL | ABP DMENSION PIN # | 26106 | 01 |
FL | AETNA HMO PIN # | 2624721 | 01 |
FL | CCN PIN # | 5453317 | 01 |
FL | USA MCO PIN # | 861099 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487913554 | Otto Bock Healthcare Lp | Prosthetic/Orthotic Supplier | 14800 28th Ave N, Suite 110-d, Minneapolis, MN 55447-4873 | 2012-05-10 |
1952573255 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 8570 Cordes Cir, Ste 2, Germantown, TN 38139-3317 | 2008-03-26 |
1396926580 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 8897 Duncan Rd, San Diego, CA 92126-2435 | 2007-11-16 |
1174703896 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 19 Olney Dr, Buffalo, NY 14226-3341 | 2007-11-09 |
1407036171 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 705 Tollgate Rd, Suite F, Elgin, IL 60123-9327 | 2007-11-09 |
1194922401 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 1468 Madison Ave, Box 1241, Guggenheim Pavillion, Mc Level, New York, NY 10029 | 2007-06-29 |
1518164276 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 5012 Oxfordshire Rd, Waxhaw, NC 28173-7324 | 2007-06-27 |
1659572352 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 440 North State Rd 7, Suite F, Royal Palm Beach, FL 33411-3504 | 2007-05-30 |
1285845131 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 1002 Marquette St # B, Bay City, MI 48706-4023 | 2007-05-24 |
1003025958 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 2350 34th St, Lubbock, TX 79411-1634 | 2007-05-21 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | OTTO BOCK HEALTHCARE LP | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
Virginia Business Entities | Otto Bock HealthCare LP | Two Carlson Pkwy North Ste 100, Plymouth, Minnesota 55447 |
New York State Corporations | OTTO BOCK HEALTHCARE LP | 80 State Street, Albany, New York 12207-2543 |
Colorado Business Entities | Otto Bock HealthCare LP | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
North Carolina Corporations | Otto Bock Healthcare LP | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
Oklahoma Business Registrations | OTTO BOCK HEALTHCARE LP | Two Carlson Parkway N, Suite 100, Plymouth, MN 55447-4467 |
Indiana Business Entities | OTTO BOCK HEALTHCARE LP | Two Carlson Pkwy N, Ste 100, Plymouth, MN 55447 |
Street Address |
18 RACETRACK RD NW |
City | FORT WALTON BEACH |
State | FL |
Zip Code | 32547-1642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568797181 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 18 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1642 | 2009-10-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
Find all providers in zip 32547 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508489683 | Medical Services of America Inc | Durable Medical Equipment & Medical Supplies | 420 Green Acres Rd Ste 1, Fort Walton Beach, FL 32547-1167 | 2020-05-22 |
1568027779 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1025 Beal Pkwy Nw Ste B2, Fort Walton Beach, FL 32547-1481 | 2019-05-02 |
1548667272 | Scooter Brothers Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 219 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1574 | 2014-11-24 |
1891055885 | Medical Logic Ft Walton, Inc. | Durable Medical Equipment & Medical Supplies | 922 Mar Walt Dr Ste 101, Fort Walton Beach, FL 32547-6703 | 2012-05-23 |
1730494451 | Coastal Diabetes, LLC | Durable Medical Equipment & Medical Supplies | 12 Miracle Strip Pkwy Se, Suite 102, Fort Walton Beach, FL 32548-5814 | 2010-08-18 |
1386962926 | Adapthealth Patient Care Solutions Inc. | Durable Medical Equipment & Medical Supplies | 11 Racetrack Rd Ne Ste E2, Fort Walton Beach, FL 32547-1867 | 2010-05-06 |
1467526517 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 28 Perry Ave Se, Fort Walton Beach, FL 32548-5465 | 2006-11-20 |
1194829044 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 434 Racetrack Rd Ne, Fort Walton Beach, FL 32547-3924 | 2006-09-12 |
1619982857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 414c Mary Esther Cto Nw, Fort Walton Beach, FL 32548-4060 | 2006-07-29 |
1780601088 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 740 Beal Pkwy Nw, Fort Walton Beach, FL 32547-3002 | 2006-07-16 |
Find all providers in FORT WALTON BEACH |
City | FORT WALTON BEACH |
Zip Code | 32547 |
Please comment or provide details below to improve the information on OTTO BOCK HEALTHCARE LP.
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.