Provider Demographics
NPI:1326853011
Name:ORTHOTIC CARE SERVICES, LLC
Entity type:Organization
Organization Name:ORTHOTIC CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED ORTHOTIST/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HINSHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-871-1480
Mailing Address - Street 1:2545 CHICAGO AVE STE 412
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4566
Mailing Address - Country:US
Mailing Address - Phone:612-871-1480
Mailing Address - Fax:612-871-1498
Practice Address - Street 1:12701 WHITEWATER DR STE 270
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-4164
Practice Address - Country:US
Practice Address - Phone:612-871-1480
Practice Address - Fax:612-871-1498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier