Provider Demographics
NPI:1386017572
Name:ORTHOTICS NOW INC
Entity Type:Organization
Organization Name:ORTHOTICS NOW INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-332-2963
Mailing Address - Street 1:2901 W CYPRESS CREEK RD STE 102E-F
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1776
Mailing Address - Country:US
Mailing Address - Phone:754-332-2963
Mailing Address - Fax:
Practice Address - Street 1:2901 W CYPRESS CREEK RD STE 102
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1730
Practice Address - Country:US
Practice Address - Phone:754-332-2963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7509740001Medicare NSC