OTTO BOCK ORTHOPEDIC SERVICES LLC (NPI# 1568797181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568797181 |
| Entity Type | Organization |
| Organization Name | OTTO BOCK ORTHOPEDIC SERVICES LLC |
| Practice Address |
18 Racetrack Rd Nw Fort Walton Beach FL 32547-1642 |
| Mailing Address |
2 Carlson Parkway N Suite 100, Attn: Sharon Clark Contract Minneapolis MN 55447 |
| Practice Telephone | 8007112205 |
| Practice Fax Number | 2666422302 |
| Mailing Telephone | 7632535679 |
| Mailing Fax Number | 7632535779 |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |
| Authorized Official Name | SHARON 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AETNA HMO PIN # | 2624721 | 01 |
| AZ | CCN PIN # | 5453317 | 01 |
| AZ | AZ NONHMO PIN # | 7850253 | 01 |
| AZ | NORTHWOOD NPN PIN # | 82108 | 01 |
| AZ | USA MCO PIN # | 861099 | 01 |
| AZ | 942046-01 | 05 | |
| AZ | BCBS AZ PIN # | AZ027990 | 01 |
| AZ | CARECENTRIX PIN # | 1220 | 01 |
| AZ | ABP DMENSION PIN # | 26106 | 01 |
| 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 |
| 1801375399 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 101 W Ridgely Rd Ste 7b, Lutherville, MD 21093-5130 | 2018-08-07 |
| 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 |
| 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 |
18 RACETRACK RD NW |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386791937 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 18 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1642 | 2007-01-05 |
| 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 |
| 1386791937 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 18 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1642 | 2007-01-05 |
| 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 |
| 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 ORTHOPEDIC SERVICES LLC.
| 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.