PETTIES & ASSOCIATES ORTHOTIC / PROSTHETICS, LLC
NPI 1780900852
Prosthetic/Orthotic Supplier in Memphis, TN

Active since April 14, 2010
1089 EASTMORELAND AVE, MEMPHIS, TN 38104(901) 275-8358(901) 525-9378 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Petties & Associates Orthotic / Prosthetics, Llc NPPES

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

PETTIES & ASSOCIATES ORTHOTIC / PROSTHETICS, LLC (NPI 1780900852) is a healthcare organization registered as a prosthetic/orthotic supplier in Memphis, Tennessee and active in the NPI registry since April 2010. The organization lists Otis V. Petties, President, as its authorized official.

NPPES Registry Identity

NPI1780900852
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePETTIES & ASSOCIATES ORTHOTIC / PROSTHETICS, LLC
Location Address1089 EASTMORELAND AVEMemphis, TN 38104-3334
Mailing Address1089 Eastmoreland AveMemphis, TN 38104-3334 · (901) 275-8358 · Fax (901) 525-9378
Fax(901) 525-9378
Organization SubpartNo
Authorized OfficialOtis V. PettiesPresident · (901) 270-5470
Enumeration DateApril 14, 2010
Last NPPES UpdateDecember 22, 2011
NPI 1780900852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in TN · 188 / 230
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.
1089 EASTMORELAND AVE, Memphis, TN 38104

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
1089 EASTMORELAND AVE
MEMPHIS, TN 38104

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 Petties & Associates Orthotic / Prosthetics, LLC's NPI number?

The NPI number for Petties & Associates Orthotic / Prosthetics, LLC is 1780900852. It was assigned to this organization in the NPPES registry on April 14, 2010.

Where is Petties & Associates Orthotic / Prosthetics, LLC located?

Petties & Associates Orthotic / Prosthetics, LLC is located at 1089 Eastmoreland Ave, Memphis, TN 38104. The listed phone number is (901) 275-8358.

What is Petties & Associates Orthotic / Prosthetics, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Petties & Associates Orthotic / Prosthetics, LLC was last updated on December 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.