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VICTORY ORTHOTICS & PROSTHETICS LLC
NPI 1457443624
Prosthetic/Orthotic Supplier in Johnson City, TN

Active since September 28, 2006
2333 KNOB CREEK RD STE 14, JOHNSON CITY, TN 37604(423) 461-3320 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2018, Aug 1, 2018, Mar 28, 2018 (3 updates tracked since 2018).

About Victory Orthotics & Prosthetics Llc NPPES

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

VICTORY ORTHOTICS & PROSTHETICS LLC (NPI 1457443624) is a healthcare organization registered as a prosthetic/orthotic supplier in Johnson City, Tennessee and active in the NPI registry since September 2006. The organization lists Brad Gardner, Coo, as its authorized official.

NPPES Registry Identity

NPI1457443624
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameVICTORY ORTHOTICS & PROSTHETICS LLC
Location Address2333 KNOB CREEK RD STE 14Johnson City, TN 37604
Mailing Address102 Woodmont Blvd Ste 120Nashville, TN 37205-5249 · (615) 550-8774 · Fax (156) 454-5352
Phone(423) 461-3320
Organization SubpartNo
Authorized OfficialBrad GardnerCoo · (615) 864-8790
Enumeration DateSeptember 28, 2006
Last NPPES UpdateOctober 3, 20183 updates tracked since enumeration
✔ NPI 1457443624 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.
2333 KNOB CREEK RD STE 14, Johnson City, TN 37604
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Other Identifiers 3

Medicaid1454184TN
Medicaid9190601VA
Other4017529TN · Bcbstn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Victory Orthotics And Prosthetics carries, from the Medicare DMEPOS supplier directory.

Victory Orthotics And Prosthetics

DMEPOS supplier · Johnson City, TNOperated by Victory Orthotics & Prosthetics LLC
⋮

Does not accept Medicare assignment

Victory Orthotics And Prosthetics has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20450147
Medicare Participant SinceJanuary 1, 2019
Supplier Location2333 Knob Creek Rd Ste 14Johnson City, TN 37604
Phone(423) 461-3320
Supplier Specialties
MSC With Orthotic-Prosthetic Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
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

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

CHRISTIAN ZACH SMITH CPO
Prosthetist
2333 KNOB CREEK RD STE 14
JOHNSON CITY, TN 37604
Washington County (423) 461-3320

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 Victory Orthotics & Prosthetics LLC's NPI number?

The NPI number for Victory Orthotics & Prosthetics LLC is 1457443624. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Victory Orthotics & Prosthetics LLC located?

Victory Orthotics & Prosthetics LLC is located at 2333 Knob Creek Rd Ste 14, Johnson City, TN 37604. The listed phone number is (423) 461-3320.

What is Victory Orthotics & Prosthetics LLC's specialty?

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

Does Victory Orthotics & Prosthetics LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Victory Orthotics And Prosthetics does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Victory Orthotics & Prosthetics LLC accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Victory Orthotics & 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 Victory Orthotics & Prosthetics LLC was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.