Active NPIOrganization

Pediatric Orthotic And Prosthetic Services-Northeast,llc

Prosthetic/Orthotic Supplier in Springfield, Massachusetts

NPI Number1902208945
Practice location
516 Carew St, Springfield, MA 01104-2330
Fax
413-735-1214
Last updated
April 23, 2025

Pediatric Orthotic And Prosthetic Services-Northeast,llc is a healthcare organization based in Springfield, MA. Pediatric Orthotic And Prosthetic Services-Northeast,llc practices in Springfield, MA. The NPI Number for Pediatric Orthotic And Prosthetic Services-Northeast,llc is 1902208945. The current practice location address for Pediatric Orthotic And Prosthetic Services-Northeast,llc is 516 Carew St, Springfield, MA 01104-2330 and can be reached out via phone at 413-735-1223 and via fax at 413-735-1214.

Provider Profile Details

NPI Number
1902208945
Provider Name
Pediatric Orthotic And Prosthetic Services-Northeast,llc
Provider Entity Type
Organization
Address
516 Carew St, Springfield, MA 01104-2330
Phone Number
413-735-1223
Fax Number
413-735-1214
Primary Taxonomy
Prosthetic/Orthotic Supplier · 335E00000X
Organization Subpart
No
Authorized Official
Mr. Brock Mcconkey, MS, CPO · Manager · 413-735-1223
Provider Enumeration Date
September 22, 2014
Last Update Date
April 23, 2025
Certification Date
April 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
516 Carew St
Springfield, MA 01104-2330
Zip
01104-2330
Phone Number
413-735-1223
Fax Number
413-735-1214
Springfield, MA 01104Get directions →

Provider Business Mailing Address Details

Address
Po Box 947109
Atlanta, GA 30394-7109
City
Atlanta
State
GA
Zip
30394-7109
Phone Number
813-367-2876
Fax Number
813-518-7659

License Information

License State
MA
Taxonomy
Prosthetic/Orthotic Supplier · 335E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pediatric Orthotic And Prosthetic Services-Northeast,llc?

The NPI number of Pediatric Orthotic And Prosthetic Services-Northeast,llc is 1902208945. It was assigned on September 22, 2014 and is currently active in the NPPES registry.

What is the specialty of Pediatric Orthotic And Prosthetic Services-Northeast,llc?

Pediatric Orthotic And Prosthetic Services-Northeast,llc is registered under the primary taxonomy Prosthetic/Orthotic Supplier (code 335E00000X).

Where does Pediatric Orthotic And Prosthetic Services-Northeast,llc practice?

The practice location is 516 Carew St, Springfield, MA 01104-2330. The office can be reached at 413-735-1223 (phone) or 413-735-1214 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902208945 directly on the NPPES registry website.

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