OTTO BOCK ORTHOPEDIC SERVICES LLC (NPI# 1619358496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619358496 |
| Entity Type | Organization |
| Organization Name | OTTO BOCK ORTHOPEDIC SERVICES LLC |
| Practice Address |
2875 S Decker Lake Dr Ste 180 West Valley City UT 84119 |
| Mailing Address |
11501 Alterra Pkwy Ste 600 Austin TX 78758-3597 |
| Practice Telephone | 8007368276 |
| Mailing Telephone | 5128062879 |
| Mailing Fax Number | 5128062979 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | SHARON CLARK (NATIONAL CONTRACTS MANAGER) |
| Authorized Official Telephone | 5128062879 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1130 S 3800 W, Suite 400, Salt Lake City, UT 841045503 | 8019746650 |
| 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 |
| 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 |
2875 S DECKER LAKE DR STE 180 |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| 1811299092 | Candice Triplett Bolton | Massage Therapist | 167 E. Helm Ave. #a, S.l.c, UT 84119 | 2010-11-22 |
| Find all providers in zip 84119 | ||||
| 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 |
|---|---|---|---|---|
| 1124475108 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5557 W 4100 S, West Valley City, UT 84120-4629 | 2016-05-19 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1871853382 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5518 W High Market Dr, West Valley City, UT 84120-1306 | 2012-05-18 |
| 1760607709 | Quality Books & Audio Ltd | Durable Medical Equipment & Medical Supplies | 2500 Decker Lake Blvd, #29, West Valley City, UT 84119-2055 | 2007-04-16 |
| 1730294737 | Midtown Investments LLC | Durable Medical Equipment & Medical Supplies | 2500 So Decker Lake Blvd, Unit 16 & 17, West Valley City, UT 84119-7671 | 2006-08-20 |
| 1063431054 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 4570 S 4000 W, West Valley City, UT 84120-6232 | 2006-07-19 |
| 1164449369 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3180 S 5600 W, West Valley City, UT 84120-1300 | 2006-07-16 |
| 1114944303 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5675 W 6200 S, West Valley City, UT 84118-7915 | 2006-07-16 |
| 1194776179 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 4850 W 3500 S, West Valley City, UT 84120-2927 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285205 | Utah Diabetic Supply | Durable Medical Equipment & Medical Supplies | 106 W Winchester St # 50, Murray, UT 84107-7713 | 2020-11-02 |
| 1740880012 | Castle Arch, LLC | Durable Medical Equipment & Medical Supplies | 596 W 750 S # 310c, Bountiful, UT 84010-7268 | 2020-10-27 |
| 1235736059 | Uintah Basin Medical Center | Durable Medical Equipment & Medical Supplies | 625 W 500 N, Vernal, UT 84078-8319 | 2020-10-05 |
| 1700483567 | Cranio Ninja LLC | Durable Medical Equipment & Medical Supplies | 975 N Main St Ste 3a, Layton, UT 84041-2200 | 2020-10-05 |
| 1861009052 | Appy Medical, LLC | Durable Medical Equipment & Medical Supplies | 8789 South Redwood Road Bld 4, Ste 250, West Jordan, UT 84088-5748 | 2020-09-30 |
| 1942815014 | Matthew Rumsey | Durable Medical Equipment & Medical Supplies | 869 E 960 S, Salem, UT 84653-5758 | 2020-09-15 |
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1497381917 | Alpha Medical Supply & Distributing | Durable Medical Equipment & Medical Supplies | 3132 W 7670 S, West Jordan, UT 84084-2867 | 2020-03-16 |
| 1679111405 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 321 E State Rd Ste 1, American Fork, UT 84003-2275 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84119 |
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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.