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VICTORY ORTHOTICS & PROSTHETICS LLC
NPI 1891935763
Prosthetic/Orthotic Supplier in Kingsport, TN

Active since March 04, 2009
2 SHERIDAN SQ, SUITE 100, KINGSPORT, TN 37660(423) 378-3320(423) 378-3363 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2018, Aug 1, 2018, Mar 29, 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 1891935763) is a healthcare organization registered as a prosthetic/orthotic supplier in Kingsport, Tennessee and active in the NPI registry since March 2009. The organization lists Brad Gardner, Coo, as its authorized official.

NPPES Registry Identity

NPI1891935763
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameVICTORY ORTHOTICS & PROSTHETICS LLC
Location Address2 SHERIDAN SQ, SUITE 100Kingsport, TN 37660
Mailing Address2 Sheridan Sq, Suite 100Kingsport, TN 37660-7399 · (423) 378-3320 · Fax (423) 378-3363
Phone(423) 378-3320
Fax(423) 378-3363
Organization SubpartNo
Authorized OfficialBrad GardnerCoo · (615) 864-8790
Enumeration DateMarch 4, 2009
Last NPPES UpdateOctober 3, 20183 updates tracked since enumeration
✔ NPI 1891935763 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.
2 SHERIDAN SQ, Kingsport, TN 37660
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Other Identifiers 3

Other4017529TN · Bcbst
Medicaid9190601VA
Medicaid1454184TN

Accepted Insurance

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

Other Providers at the Same Location NPPES 5

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

KENNETH WAYNE SMITH MD
Neurological Surgery
2 SHERIDAN SQ, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 246-8061
MS. CARLA RENEE CHEEK FNP
Nurse Practitioner (Family)
2 SHERIDAN SQ, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 392-2887
MRS. MELISSA HOPE FORD RN
Registered Nurse (Neuroscience)
2 SHERIDAN SQ
KINGSPORT, TN 37660
Sullivan County (423) 246-8061
EMILE GEORGE SCHMIDT JR. PT
Physical Therapist
2 SHERIDAN SQ, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 246-8061
BLUE RIDGE NEUROSCIENCE CENTER, P.C.
Specialist
2 SHERIDAN SQ, STE 200
KINGSPORT, TN 37660
Sullivan County (423) 392-2887

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 1891935763. It was assigned to this organization in the NPPES registry on March 4, 2009.

Where is Victory Orthotics & Prosthetics LLC located?

Victory Orthotics & Prosthetics LLC is located at 2 Sheridan Sq Suite 100, Kingsport, TN 37660. The listed phone number is (423) 378-3320.

What is Victory Orthotics & Prosthetics LLC's specialty?

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

What insurance does Victory Orthotics & Prosthetics LLC accept?

Health plans from BlueCross BlueShield of Tennessee 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.