OrganizationActive
Otto Bock Orthopedic Services LLC
NPI 1053623645 · Prosthetic/Orthotic Supplier · Bonita Springs, FL
Provider details
- NPI number
- 1053623645
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Kimberly Lewis, Evp of Licensure(512) 806-2756
- License
- 1313643 (FL)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4061 Bonita Beach Rd Ste 104
Bonita Springs, FL 34134-4073
Phone: (800) 736-8276
Fax: (866) 642-2302
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 734949
Dallas, TX 75373-4949
Additional practice locations (1)
- 245 Airport Pulling Rd SNaples, FL 34104-3517Phone: (239) 643-1133
Registry dates
- Enumerated
- 2010-07-12
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.