MEDICARE: CARE PROSTHETICS & ORTHOTICS

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	335E00000X	Prosthetic/Orthotic Supplier	000054	TX

General Provider Information

NPI Number	:	1902916901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE PROSTHETICS & ORTHOTICS

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 120
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-5249
Country	:	US
Telephone Number	:	615-864-8790
Fax Number	:	615-454-5352

Provider Business Practice Location Address
First Line	:	1015 SWANSON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-5011
Country	:	US
Telephone Number	:	713-524-2813
Fax Number	:	713-795-4002

Authorized Official
Title or Position	:	VP OF FINANCE, CONTROLLER
Name	:	AARON KRATOHVIL
Credential	:
Telephone Number	:	615-550-8760

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	02/19/2021

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Directions to “CARE PROSTHETICS & ORTHOTICS ” Practice Location

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