MEDICARE: ORTHOFLEX MEDICAL SUPPLY 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1770447260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOFLEX MEDICAL SUPPLY LLC

Provider Business Mailing Address
First Line	:	1442 POTTSTOWN PIKE STE 272
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-1271
Country	:	US
Telephone Number	:	610-255-7800
Fax Number	:	610-255-7800

Provider Business Practice Location Address
First Line	:	790 N MILWAUKEE ST # 30298945
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-3724
Country	:	US
Telephone Number	:	610-255-7800
Fax Number	:	610-255-7800

Authorized Official
Title or Position	:	OWNER
Name	:	NELSON LAMIZANA
Credential	:
Telephone Number	:	610-255-7800

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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