WIG OUT LLC
NPI 1285528778
Prosthetic/Orthotic Supplier in Charlotte, NC

Active since June 07, 2025
905 KENILWORTH AVE APT 413, CHARLOTTE, NC 28204(704) 457-0132 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 11, 2026, Aug 13, 2025, Jun 7, 2025 (3 updates tracked since 2025).

About Wig Out Llc NPPES

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

WIG OUT LLC (NPI 1285528778) is a healthcare organization registered as a prosthetic/orthotic supplier in Charlotte, North Carolina and active in the NPI registry since June 2025. The organization lists Brooke Ross, Owner, as its authorized official.

NPPES Registry Identity

NPI1285528778
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameWIG OUT LLC
Location Address905 KENILWORTH AVE APT 413Charlotte, NC 28204-3523
Mailing Address905 Kenilworth Ave Apt 413Charlotte, NC 28204-3523 · (704) 457-0132
Organization SubpartNo
Authorized OfficialBrooke RossOwner · (704) 231-8039
Enumeration DateJune 7, 2025
Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
NPI 1285528778 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.

905 KENILWORTH AVE APT 413, Charlotte, NC 28204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285528778, enumerated as an "organization" on June 07, 2025.

The provider is located at 905 KENILWORTH AVE APT 413 CHARLOTTE, NC 28204 and the phone number is (704) 457-0132.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.