SUMMIT CITY PROSTHETICS & ORTHOTICS INC
NPI 1184205379
Prosthetic/Orthotic Supplier in South Bend, IN

Q: What is Summit City Prosthetics & Orthotics Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since April 19, 2021

16597 STATE ROAD 23 STE 2, SOUTH BEND, IN 46635(574) 855-1488(574) 387-5583 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Summit City Prosthetics & Orthotics Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT CITY PROSTHETICS & ORTHOTICS INC (NPI 1184205379) is a healthcare organization registered as a prosthetic/orthotic supplier in South Bend, Indiana and active in the NPI registry since April 2021. The organization lists Shawn Dee Brown, President, as its authorized official.

NPPES Registry Identity

NPI1184205379

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameSUMMIT CITY PROSTHETICS & ORTHOTICS INC

Location Address16597 STATE ROAD 23 STE 2South Bend, IN 46635-1461

Mailing Address16597 State Road 23 Ste 2South Bend, IN 46635-1461 · (574) 855-1488 · Fax (574) 387-5583

Phone(574) 855-1488

Fax(574) 387-5583

Organization SubpartYesParent: Summit City Prosthetics & Orthotics, Inc

Authorized OfficialShawn Dee BrownPresident · (260) 312-1746

Enumeration DateApril 19, 2021

NPPES CertifiedApril 19, 2021

✔ NPI 1184205379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

16597 STATE ROAD 23 STE 2, South Bend, IN 46635

Open in Google Maps ↗

Other Identifiers 1

Medicaid300033323IN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit City Prosthetics & Orthotics Inc's NPI number?

The NPI number for Summit City Prosthetics & Orthotics Inc is 1184205379. It was assigned to this organization in the NPPES registry on April 19, 2021.

Where is Summit City Prosthetics & Orthotics Inc located?

Summit City Prosthetics & Orthotics Inc is located at 16597 State Road 23 Ste 2, South Bend, IN 46635. The listed phone number is (574) 855-1488.

What is Summit City Prosthetics & Orthotics Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Summit City Prosthetics & Orthotics Inc was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.