MEDICARE: ORTHOTIC & PROSTHETIC SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1184219875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOTIC & PROSTHETIC SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	7754 FLORIDA BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-4706
Country	:	US
Telephone Number	:	225-243-9736
Fax Number	:	985-256-2599

Provider Business Practice Location Address
First Line	:	4700 SOUTHERN AVE
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-1708
Country	:	US
Telephone Number	:	318-314-2937
Fax Number	:	318-404-1513

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	CYNTHIA J CHANDLER
Credential	:
Telephone Number	:	601-685-9244

Provider Enumeration Date	:	03/04/2021
Last Update Date	:	06/05/2026

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