Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Otto Bock Orthopedic Services LLC

Organization Prosthetist · NPI 1104206499

Otto Bock Orthopedic Services LLC is a Prosthetist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10643 Kettering Dr
Charlotte, NC 28226
Phone: (800) 736-8276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X
Prosthetist Taxonomy 224P00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 02286 (NC)
Customized Equipment (DME) Taxonomy 332BC3200X

Record details

NPI number1104206499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Lewis — Evp Of Licensure · (512) 806-2756
NPI enumeratedJune 2, 2015
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing addressPo Box 734949, Dallas, TX 75373-4949

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