OTTO BOCK ORTHOPEDIC SERVICES LLC (NPI# 1871063420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871063420 |
| Entity Type | Organization |
| Organization Name | OTTO BOCK ORTHOPEDIC SERVICES LLC |
| Practice Address |
3800 Watt Avenue Suite 151 Sacramento CA 95821 |
| Mailing Address |
11501 Alterra Parkway Suite 600 Austin TX 78758-3597 |
| Practice Telephone | 8007368276 |
| Mailing Telephone | 8007368276 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2019-07-03 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HME LICENSE | 104746 | 01 |
| CA | SACRAMENTO BUSINESS LICENSE | GNB32019-00551 | 01 |
| CA | SELLER PERMIT | 101351003 | 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 |
| 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 |
| 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 |
3800 WATT AVENUE SUITE 151 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| 1447657309 | Yvonne Kraemer | Marriage & Family Therapist | 3650 Auburn Blvd C208, Life Practice Counseliing Group, Sacramento, CA 95821 | 2014-11-20 |
| Find all providers in zip 95821 | ||||
| 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 |
|---|---|---|---|---|
| 1972147916 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 2825 J St Ste 325, Sacramento, CA 95816-4300 | 2019-11-02 |
| 1487806865 | Collier Orthotics and Prosthetics Sacramento, Inc. | Prosthetic/Orthotic Supplier | 3814 Auburn Blvd Ste 75, Sacramento, CA 95821-2123 | 2008-10-16 |
| 1962601302 | Anchor Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1828 Tribute Rd Ste G, Sacramento, CA 95815-4310 | 2007-07-16 |
| 1942354584 | West Coast Prosthetics | Prosthetic/Orthotic Supplier | 65 Quinta Ct Ste I, Sacramento, CA 95823-4310 | 2007-01-22 |
| 1306911227 | Anchor Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 3838 Watt Ave Ste A110, Sacramento, CA 95821-2689 | 2006-11-24 |
| 1982715793 | Phillip A Danz & Associates | Prosthetic/Orthotic Supplier | 1736 Professional Dr, Sacramento, CA 95825-2105 | 2006-08-31 |
| 1518983980 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 1651 Arden Way, Sacramento, CA 95815-4004 | 2006-07-15 |
| 1821083163 | Professional Orthopedic Systems of Sacramento, LLC | Prosthetic/Orthotic Supplier | 5049 College Oak Dr, Suite F, Sacramento, CA 95841-4630 | 2005-09-13 |
| 1073973194 | Compression Obsession | Prosthetic/Orthotic Supplier | 650 University Ave, Suite 109, Sacramento, CA 95825 | 2016-03-02 |
| 1245698984 | At Last Bra and Lingerie Boutique LLC | Prosthetic/Orthotic Supplier | 1325 Howe Ave, Suite 100, Sacramento, CA 95825-3364 | 2016-02-09 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
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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.