MEDICARE: OTTO BOCK PATIENT CARE, 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	:	1780374488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OTTO BOCK PATIENT CARE, LLC

Provider Business Mailing Address
First Line	:	11809 DOMAIN DR UNIT 400
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78758-3452
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3465 W MONTAGUE AVE STE 101
Second Line	:
City	:	N CHARLESTON
State	:	SC
Zip	:	29418-5938
Country	:	US
Telephone Number	:	843-577-9577
Fax Number	:

Authorized Official
Title or Position	:	COMPLIANCE OFFICER
Name	:	PALLAVI CHINTAPALLI NEMANI
Credential	:
Telephone Number	:	512-552-6311

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	05/08/2023

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1104801125 — CAROLINA ORTHOTICS AND PROSTHETICS LLC
Practice Location Address:

3465 W MONTAGUE AVE STE 101
N CHARLESTON, SC
29418-5938

Practice Phone: 843-577-9577
Practice Fax: 843-577-9574

1467430009 — JAMES M CAWTHORNE DPM
Practice Location Address:

3471 W MONTAGUE AVE
NORTH CHARLESTON, SC
29418-5938

Practice Phone: 843-553-2235
Practice Fax: 843-553-2275

1326384108 — SHARON FINNEY LMFT
Practice Location Address:

3441 W MONTAGUE AVE
N CHARLESTON, SC
29418-5938

Practice Phone: 843-543-0959
Practice Fax:

1356982698 — STRIDE PHARMACY
Practice Location Address:

3471 W MONTAGUE AVE
NORTH CHARLESTON, SC
29418-5938

Practice Phone: 803-256-6776
Practice Fax:

1215615216 — DR. DANIELLE LATRICE WISE PHARMD
Practice Location Address:

3471 W MONTAGUE AVE
NORTH CHARLESTON, SC
29418-5938

Practice Phone: 843-531-5187
Practice Fax:

Directions to “OTTO BOCK PATIENT CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.