Victory Orthotics & Prosthetics LLC
NPI 1457443624 · Prosthetic/Orthotic Supplier · Johnson City, TN
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Orthotic-Prosthetic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Victory Orthotics & Prosthetics LLC is a Prosthetic/Orthotic Supplier organization in Johnson City, TN (NPI 1457443624).
Provider details
- NPI number
- 1457443624
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Brad Gardner, Coo(615) 864-8790
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2018-10-03
Frequently asked questions
- What is Victory Orthotics & Prosthetics LLC's NPI number?
- Victory Orthotics & Prosthetics LLC's National Provider Identifier (NPI) is 1457443624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victory Orthotics & Prosthetics LLC?
- Victory Orthotics & Prosthetics LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Victory Orthotics & Prosthetics LLC located?
- Victory Orthotics & Prosthetics LLC's practice location on file with NPPES is 2333 Knob Creek Rd Ste 14, Johnson City, TN 37604.
- What is Victory Orthotics & Prosthetics LLC's phone number?
- The practice phone number listed in the NPPES registry for Victory Orthotics & Prosthetics LLC is (423) 461-3320.
- Does Victory Orthotics & Prosthetics LLC accept Medicare?
- Victory Orthotics & Prosthetics LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Victory Orthotics & Prosthetics LLC?
- The authorized official listed on Victory Orthotics & Prosthetics LLC's NPPES record is Brad Gardner, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victory Orthotics & Prosthetics LLC's NPI active?
- Yes — Victory Orthotics & Prosthetics LLC's NPI (1457443624) is active in the NPPES registry as of the last update on 2018-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.