Provider Demographics
NPI:1629189162
Name:ORTHOTIC SOLUTIONS, INC.
Entity Type:Organization
Organization Name:ORTHOTIC SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOAGLUND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-243-4701
Mailing Address - Street 1:2277 STATE RD
Mailing Address - Street 2:SUITE K2
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-7111
Mailing Address - Country:US
Mailing Address - Phone:774-205-2278
Mailing Address - Fax:774-413-9756
Practice Address - Street 1:2277 STATE RD
Practice Address - Street 2:SUITE K2
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-7111
Practice Address - Country:US
Practice Address - Phone:508-224-3510
Practice Address - Fax:508-224-7559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA8200703OtherUNITED HEALTHCARE
MA400654OtherBLUECROSS BLUESHIELD
MA5432900001Medicare NSC