CAROLINA ORTHOTICS AND PROSTHETICS LLC
NPI 1104801125
Prosthetic/Orthotic Supplier in N Charleston, SC

Active since December 13, 2005
3465 W MONTAGUE AVE STE 101, N CHARLESTON, SC 29418(843) 577-9577(843) 577-9574 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2022, Jul 7, 2020, Jun 21, 2017 (3 updates tracked since 2017).

About Carolina Orthotics And Prosthetics Llc NPPES

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

CAROLINA ORTHOTICS AND PROSTHETICS LLC (NPI 1104801125) is a healthcare organization registered as a prosthetic/orthotic supplier in N Charleston, South Carolina and active in the NPI registry since December 2005. The organization lists David Vick, Coo, as its authorized official.

NPPES Registry Identity

NPI1104801125
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameCAROLINA ORTHOTICS AND PROSTHETICS LLC
Location Address3465 W MONTAGUE AVE STE 101N Charleston, SC 29418-5938
Mailing Address4975 Lacross Rd Ste 314North Charleston, SC 29406-6531 · (843) 577-9577 · Fax (843) 718-1438
Fax(843) 577-9574
Organization SubpartNo
Authorized OfficialDavid VickCoo · (843) 577-9577
Enumeration DateDecember 13, 2005
Last NPPES UpdateFebruary 23, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2022
NPI 1104801125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
3465 W MONTAGUE AVE STE 101, N Charleston, SC 29418

Other Identifiers 1

Medicaid554108SC

Accepted Insurance

Other Providers at the Same Location NPPES

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

Prosthetic/Orthotic Supplier
3465 W MONTAGUE AVE STE 101
N CHARLESTON, SC 29418

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 Carolina Orthotics And Prosthetics LLC's NPI number?

The NPI number for Carolina Orthotics And Prosthetics LLC is 1104801125. It was assigned to this organization in the NPPES registry on December 13, 2005.

Where is Carolina Orthotics And Prosthetics LLC located?

Carolina Orthotics And Prosthetics LLC is located at 3465 W Montague Ave Ste 101, N Charleston, SC 29418. The listed phone number is (843) 577-9577.

What is Carolina Orthotics And Prosthetics LLC's specialty?

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

What insurance does Carolina Orthotics And Prosthetics LLC accept?

Health plans from UnitedHealthcare list Carolina Orthotics And Prosthetics 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 Carolina Orthotics And Prosthetics LLC was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.