Healthcare Provider Details

I. General information

NPI: 1023823812
Provider Name (Legal Business Name): ORTHOTIC CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7767 ELM CREEK BLVD N STE 208
MAPLE GROVE MN
55369-7033
US

IV. Provider business mailing address

2545 CHICAGO AVE STE 412
MINNEAPOLIS MN
55404-4566
US

V. Phone/Fax

Practice location:
  • Phone: 612-871-1480
  • Fax: 612-871-1498
Mailing address:
  • Phone: 612-871-1480
  • Fax: 612-871-1498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: PATRICK SCOTT HINSHON
Title or Position: OWNER, PRACTITIONER
Credential:
Phone: 612-871-1480