OTTO BOCK ORTHOPEDIC SERVICES LLC
NPI 1104206499
Prosthetic/Orthotic Supplier in Charlotte, NC

Active since June 02, 2015
10643 KETTERING DR, CHARLOTTE, NC 28226(800) 736-8276 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 27, 2022, May 20, 2022, Jan 25, 2022 and 2 more (5 updates tracked since 2016).

About Otto Bock Orthopedic Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OTTO BOCK ORTHOPEDIC SERVICES LLC (NPI 1104206499) is a healthcare organization registered as a prosthetic/orthotic supplier in Charlotte, North Carolina and active in the NPI registry since June 2015. The organization lists Kimberly Lewis, Evp Of Licensure, as its authorized official.

NPPES Registry Identity

NPI1104206499
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameOTTO BOCK ORTHOPEDIC SERVICES LLC
Location Address10643 KETTERING DRCharlotte, NC 28226
Mailing AddressPo Box 734949Dallas, TX 75373-4949 · (800) 736-8276 · Fax (866) 642-2302
Organization SubpartNo
Authorized OfficialKimberly LewisEvp Of Licensure · (512) 806-2756
Enumeration DateJune 2, 2015
Last NPPES UpdateOctober 22, 20255 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
NPI 1104206499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
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.
Also ListedProsthetistTaxonomy 224P00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 02286 (NC)
10643 KETTERING DR, Charlotte, NC 28226

Other Identifiers 3

Other02286NC · In State Nc Hme Licensure
Other02396NC · Austin Nc Hme Licensure
Medicaid1104206499NC

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories Otto Bock Orthopedic Services LLC carries, from the Medicare DMEPOS supplier directory.

Otto Bock Orthopedic Services LLC

DMEPOS supplier · Charlotte, NC

Accepts Medicare assignment

Otto Bock Orthopedic Services LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20547167
Medicare Participant SinceDecember 31, 2009
Supplier Location10643 Kettering Dr Ste 104Charlotte, NC 28226
Supplier Specialties
Medical Supply Company Other MSC With Orthotic-Prosthetic

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Continuous Passive Motion (CPM) Devices
Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines
Contracture Treatment Devices: Dynamic Splint
Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Neuromuscular Elect Stimulators (NMES)/Supplies
Electrodes, lead wires, adhesive tape
Osteogenesis Stimulators
Non-spinal electrical osteogenesis stimulators, Spinal electrical osteogenesis stimulators, Ultrasonic osteogenesis stimulators
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
10643 KETTERING DR, SUITE 101
CHARLOTTE, NC 28226
Counselor (Mental Health)
10643 KETTERING DR, STE 105
CHARLOTTE, NC 28226
Counselor (Mental Health)
10643 KETTERING DR, STE 109
CHARLOTTE, NC 28226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Otto Bock Orthopedic Services LLC's NPI number?

The NPI number for Otto Bock Orthopedic Services LLC is 1104206499. It was assigned to this organization in the NPPES registry on June 2, 2015.

Where is Otto Bock Orthopedic Services LLC located?

Otto Bock Orthopedic Services LLC is located at 10643 Kettering Dr, Charlotte, NC 28226. The listed phone number is (800) 736-8276.

What is Otto Bock Orthopedic Services LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Otto Bock Orthopedic Services LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Otto Bock Orthopedic Services LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Otto Bock Orthopedic Services LLC accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Otto Bock Orthopedic Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Otto Bock Orthopedic Services LLC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.