LEVEL FOUR ORTHOTICS & PROSTHETICS, INC. (NPI# 1922048313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922048313 |
Entity Type | Organization |
Organization Name | LEVEL FOUR ORTHOTICS & PROSTHETICS, INC. |
Other Organization Name | RESTORE POC |
Practice Address |
1901 Brunswick Ave Suite 240 Charlotte NC 28207-2809 |
Mailing Address |
2534 Empire Dr Winston Salem NC 27103-6710 |
Practice Telephone | 7043484488 |
Practice Fax Number | 7043484496 |
Mailing Telephone | 3363972165 |
Mailing Fax Number | 3363972167 |
Enumeration Date | 2006-06-07 |
Last Update Date | 2019-07-23 |
Authorized Official Name | JANET WOODALL (DIRECTOR, CONTRACTING) |
Authorized Official Telephone | 3363970993 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7704573 | 05 | |
NC | 1922048313 | 05 | |
NC | LINKIA | LEVE9603-001 | 01 |
NC | BLUE CROSS BLUE SHILED OF NC | 0340W | 01 |
SC | DE2868 | 05 |
Other Name | Type Code |
---|---|
Restore OPC | Doing Business As Name - Organization |
Restore POC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992041867 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 3250 Harden Street Ext Ste 200, Columbia, SC 29203 | 2012-12-21 |
1518193010 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 470 Lake Concord Rd Ne, Concord, NC 28025-2965 | 2009-06-10 |
1831336494 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 39b Oak Hill Ct, Building B, Newnan, GA 30265-2392 | 2009-01-19 |
1902801244 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1673 Westbrook Plaza Dr Ste 230, Winston Salem, NC 27103-3068 | 2005-06-14 |
1477802908 | Level Four Orthotics & Prosthetics, Inc. | Durable Medical Equipment & Medical Supplies | 11001 Durant Rd, Suite 114, Raleigh, NC 27614-8390 | 2012-08-30 |
1790017929 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 5613 Duraleigh Rd, Raleigh, NC 27612-2694 | 2010-02-15 |
1255568697 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1810 Mulkey Rd Ste 202, Austell, GA 30106-1150 | 2009-06-12 |
1194975854 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 401 Mulberry St Sw, Suite 109, Lenoir, NC 28645-5463 | 2008-09-30 |
1528222908 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 3010 Farrow Rd, Suite 130, Columbia, SC 29203-7603 | 2008-07-15 |
1194871814 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 163 Rutledge Ave, Suite 350, Charleston, SC 29403-5823 | 2007-01-26 |
Street Address |
1901 BRUNSWICK AVE SUITE 240 |
City | CHARLOTTE |
State | NC |
Zip Code | 28207-2809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992191001 | Jennifer Little | Physician Assistant | 1901 Brunswick Ave, Suite 200, Charlotte, NC 28207-2809 | 2015-04-15 |
1154765832 | Novant Medical Group Inc | Surgery | 1901 Brunswick Ave, Suite 200, Charlotte, NC 28207-2809 | 2013-04-24 |
1851609093 | Donald D. Fraser, M.d., P.a. | Clinic/Center | 1901 Brunswick Ave, Suite 240, Charlotte, NC 28207-2809 | 2010-09-22 |
1952533457 | Melanie H Brocato | Orthotist | 1901 Brunswick Ave, Suite 200, Charlotte, NC 28207-2809 | 2009-08-17 |
1912170119 | James Ziegler Appel IIi | Plastic Surgery | 1901 Brunswick Ave, Suite 200, Charlotte, NC 28207-2809 | 2008-04-08 |
1629264171 | Christina M Hinton | Prosthetist | 1901 Brunswick Ave, Suite 200, Charlotte, NC 28207-2809 | 2007-09-19 |
1073739991 | Alexander Rossitch | Dentist | 1901 Brunswick Ave, Suite 250, Charlotte, NC 28207-2809 | 2007-04-18 |
1396891933 | James Lewis Wallace Jr. | Orthotist | 1901 Brunswick Ave, Suite 200, Charlotte, NC 28207-2809 | 2007-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
Find all providers in zip 28207 |
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 |
---|---|---|---|---|
1154920395 | Anderson Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 307 W Tremont Ave Ste 200, Charlotte, NC 28203-4902 | 2020-10-20 |
1124645882 | The Royal Stich By Melinda | Prosthetic/Orthotic Supplier | 8032 Black Forest Ln Apt 10103, Charlotte, NC 28277-6746 | 2020-06-29 |
1073134573 | Diva Salon By Veronica Ashley, Inc. | Prosthetic/Orthotic Supplier | 10901 University City Blvd Ste 108, Charlotte, NC 28213-9300 | 2020-05-06 |
1457986499 | Lala Lashes Charlotte | Prosthetic/Orthotic Supplier | 2434 Shad Ct, Charlotte, NC 28208-3307 | 2020-03-10 |
1770142390 | Kenney Orthopedics of Monroe, LLC | Prosthetic/Orthotic Supplier | 3816 Latrobe Dr Ste 103, Charlotte, NC 28211-1167 | 2019-06-07 |
1699331934 | Lakeata Johnson | Prosthetic/Orthotic Supplier | 2070 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4056 | 2019-05-13 |
1033773999 | Danielle Santiago-cofield | Prosthetic/Orthotic Supplier | 9611 Seamill Rd, Charlotte, NC 28278-8008 | 2019-04-26 |
1083189211 | Next Step Prosthetics LLC | Prosthetic/Orthotic Supplier | 2826 Randolph Rd Ste 201, Charlotte, NC 28211-1386 | 2018-10-03 |
1104350420 | Jerzeygirlhair Salon | Prosthetic/Orthotic Supplier | 8746 Arborcreek Dr, Charlotte, NC 28269-0542 | 2017-04-13 |
1295141216 | Taqiyah Camyah Barber | Prosthetic/Orthotic Supplier | 3829 Perennial Terrace Dr, #g, Charlotte, NC 28206 | 2014-07-10 |
Find all providers in CHARLOTTE |
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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.