VICTORY ORTHOTICS & PROSTHETICS LLC – NPI #1891935763
Prosthetic/Orthotic Supplier
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
VICTORY ORTHOTICS & PROSTHETICS LLC is a DME Supplier located in KINGSPORT, TN. NPPES has assigned the NPI number 1891935763 to VICTORY ORTHOTICS & PROSTHETICS LLC on March 04, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.
The NPI profile was previously updated about 8 years ago on Oct 03, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VICTORY ORTHOTICS & PROSTHETICS LLC below.
NPI Profile for
VICTORY ORTHOTICS & PROSTHETICS LLC
(more than 17 years ago)
SUITE 100
KINGSPORT, TN 37660 Phone: (423) 378-3320 Fax: (423) 378-3363
COO
Phone: (615) 864-8790
Identifiers for VICTORY ORTHOTICS & PROSTHETICS LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BCBST | TN | 4017529 |
| MEDICAID | TN | 1454184 | |
| MEDICAID | VA | 9190601 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 335E00000X - Prosthetic/Orthotic Supplier (Primary) |
TN |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.