MEDICARE: ORTHOTIC & PROSTHETIC CLINICS OF AMERICA MEMPHIS 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
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1669320495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOTIC & PROSTHETIC CLINICS OF AMERICA MEMPHIS LLC

Provider Business Mailing Address
First Line	:	2996 KATE BOND RD STE 403
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38133-4063
Country	:	US
Telephone Number	:	901-310-4424
Fax Number	:	901-425-9643

Provider Business Practice Location Address
First Line	:	2996 KATE BOND RD STE 403
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38133-4063
Country	:	US
Telephone Number	:	901-310-4424
Fax Number	:	901-425-9643

Authorized Official
Title or Position	:	OWNER
Name	:	DELRICCO CRAWFORD
Credential	:
Telephone Number	:	901-283-0936

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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