LEVEL FOUR ORTHOTICS & PROSTHETICS, INC. (NPI# 1992041867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992041867 |
| Entity Type | Organization |
| Organization Name | LEVEL FOUR ORTHOTICS & PROSTHETICS, INC. |
| Other Organization Name | RESTORE POC |
| Practice Address |
3250 Harden Street Ext Ste 200 Columbia SC 29203 |
| Mailing Address |
2534 Empire Dr Winston Salem NC 27103-6710 |
| Practice Telephone | 8039390097 |
| Practice Fax Number | 8039391103 |
| Mailing Telephone | 3363972165 |
| Mailing Fax Number | 3363972167 |
| Enumeration Date | 2012-12-21 |
| 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 |
|---|---|---|---|
| SC | DE3498 | 05 |
| Other Name | Type Code |
|---|---|
| Restore OPC | Doing Business As Name - Organization |
| Restore POC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1922048313 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1901 Brunswick Ave, Suite 240, Charlotte, NC 28207-2809 | 2006-06-07 |
| 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 |
3250 HARDEN STREET EXT STE 200 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639708571 | Rebecca Bradleigh Leland | Orthotist | 3250 Harden Street Ext Ste 200, Columbia, SC 29203-6842 | 2020-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| 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 |
|---|---|---|---|---|
| 1598259954 | Natural Wigs Store | Prosthetic/Orthotic Supplier | 1722 Broad River Rd Ste C, Columbia, SC 29210-7336 | 2018-06-19 |
| 1215279013 | Mochix | Prosthetic/Orthotic Supplier | 2601 Maguire Blvd, Columbia, MO 65201-8253 | 2013-03-20 |
| 1649550963 | The Welbourne Group,llc | Prosthetic/Orthotic Supplier | 6830 Garners Ferry Rd, Columbia, SC 29209-1609 | 2011-08-17 |
| 1619296175 | Comforting Solutions, LLC | Prosthetic/Orthotic Supplier | 12118 Little Patuxent Pkwy Apt H, Columbia, MD 21044-2759 | 2010-05-24 |
| 1205016219 | Orthopartners Inc | Prosthetic/Orthotic Supplier | 6760 Alexander Bell Dr, Suite 150, Columbia, MD 21046-2191 | 2007-11-07 |
| 1689768376 | The Forms Boutique, Inc. | Prosthetic/Orthotic Supplier | 3308 Forest Dr, Columbia, SC 29204-4024 | 2006-10-03 |
| 1851302244 | Cook's Orthopedics, Inc. | Prosthetic/Orthotic Supplier | 1503 Hatcher Ln, Suite 140, Columbia, TN 38401-4833 | 2006-08-10 |
| 1417962275 | Central Brace Company | Prosthetic/Orthotic Supplier | 404 Portland St, Rear Entrance Eye Research Foundation, Columbia, MO 65201-6506 | 2006-07-30 |
| 1366460248 | Alala, LLC | Prosthetic/Orthotic Supplier | 3400 Harden Street Ext, Columbia, SC 29203 | 2006-07-18 |
| 1881610293 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 10300 Little Patuxent Pkwy # 1, Columbia, MD 21044-3341 | 2006-07-15 |
| Find all providers in COLUMBIA | ||||
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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.