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: July 19, 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
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

Other Identifiers 3

Other4017529TN · Bcbst
Medicaid9190601VA
Medicaid1454184TN

Accepted 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.

Physical Therapist
2 SHERIDAN SQ, SUITE 200
KINGSPORT, TN 37660
Specialist
2 SHERIDAN SQ, STE 200
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2 SHERIDAN SQ, SUITE 200
KINGSPORT, TN 37660
Registered Nurse (Neuroscience)
2 SHERIDAN SQ
KINGSPORT, TN 37660
Neurological Surgery
2 SHERIDAN SQ, SUITE 200
KINGSPORT, TN 37660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891935763, enumerated as an "organization" on March 04, 2009.

The provider is located at 2 SHERIDAN SQ SUITE 100 KINGSPORT, TN 37660 and the phone number is (423) 378-3320.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.