OrganizationActive
121 Care LLC
NPI 1164930665 · Prosthetic/Orthotic Supplier · New York, NY
Provider details
- NPI number
- 1164930665
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- 121 Care LLC
- Organization subpart
- Yes
- Authorized official
- Andrew Pedtke, Ceo(612) 910-4164
Specialties & taxonomies
Suppliers
Practice location
215 E 73rd St
New York, NY 10021-3653
Phone: (855) 572-0400
Approximate (ZIP-level) locationGet directions
Mailing address
215 E 73rd St
New York, NY 10021-3653
Registry dates
- Enumerated
- 2018-01-18
- Last updated
- 2018-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.