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PERFORMANCE ORTHOPEDIC DESIGN, LLC
NPI 1205036142
Prosthetic/Orthotic Supplier in Lake Placid, NY

Active since July 19, 2007
7 OLD MILITARY RD, LAKE PLACID, NY 12946(518) 523-2419(518) 523-7192 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Performance Orthopedic Design, Llc NPPES

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

PERFORMANCE ORTHOPEDIC DESIGN, LLC (NPI 1205036142), doing business as Mountain Orthotic And Prosthetic Services, is a healthcare organization registered as a prosthetic/orthotic supplier in Lake Placid, New York and active in the NPI registry since July 2007. The organization lists Jeffrey Louis Erenstone, Owner, as its authorized official.

NPPES Registry Identity

NPI1205036142
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePERFORMANCE ORTHOPEDIC DESIGN, LLC
Location Address7 OLD MILITARY RDLake Placid, NY 12946-1614
Mailing Address7 Old Military RdLake Placid, NY 12946-1614 · (518) 523-2419 · Fax (518) 523-7192
Phone(518) 523-2419
Fax(518) 523-7192
Organization SubpartNo
Authorized OfficialJeffrey Louis ErenstoneOwner · (518) 523-2419
Enumeration DateJuly 19, 2007
Last NPPES UpdateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
✔ NPI 1205036142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
7 OLD MILITARY RD, Lake Placid, NY 12946
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Other Names 1

Doing Business AsMountain Orthotic And Prosthetic Services

Other Identifiers 1

Medicaid02936501NY

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Mountain Orthotic And Prosthetic SE carries, from the Medicare DMEPOS supplier directory.

Mountain Orthotic And Prosthetic SE

DMEPOS supplier · Lake Placid, NYOperated by Performance Orthopedic Design LLC
⋮

Does not accept Medicare assignment

Mountain Orthotic And Prosthetic SE has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20564333
Medicare Participant SinceSeptember 10, 2007
Supplier Location7 Old Military RdLake Placid, NY 12946
Phone(518) 523-2419
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Performance Orthopedic Design, LLC's NPI number?

The NPI number for Performance Orthopedic Design, LLC is 1205036142. It was assigned to this organization in the NPPES registry on July 19, 2007. The provider is doing business as Mountain Orthotic and Prosthetic Services.

Where is Performance Orthopedic Design, LLC located?

Performance Orthopedic Design, LLC is located at 7 Old Military Rd, Lake Placid, NY 12946. The listed phone number is (518) 523-2419.

What is Performance Orthopedic Design, LLC's specialty?

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

Does Performance Orthopedic Design, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Mountain Orthotic And Prosthetic SE does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Performance Orthopedic Design, LLC was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.