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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ORTHOMIDWEST, PLLC
NPI 1306880414
Prosthetic/Orthotic Supplier in Rockford, IL

Active since June 16, 2006
324 ROXBURY ROAD, ROCKFORD, IL 61107(815) 398-9491(815) 381-7498 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2026, Sep 11, 2019, Jul 15, 2016 (3 updates tracked since 2016).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Taxonomies
  4. Group Taxonomy
  5. Authorized Official
  6. Other Providers Same Location
  7. Frequently Asked Questions
  • Organization
  • Prosthetic/Orthotic Supplier

About ORTHOMIDWEST, PLLC

This page provides the complete NPI Profile along with additional information for Orthomidwest, Pllc, a provider established in Rockford, Illinois operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1306880414 assigned on June 2006. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated July 2026. Orthomidwest, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Leslie Elmer Cpcs (Mangaer, Credentialing And Risk)

NPI
1306880414 Verify this NPI
Provider Name
ORTHOMIDWEST, PLLC
Entity Type
Organization
Location Address
324 ROXBURY ROAD ROCKFORD, IL 61107
Location Phone
(815) 398-9491
Location Fax
(815) 381-7498
Mailing Address
PO BOX 735263 CHICAGO, IL 60673
Mailing Phone
(815) 398-9491
Mailing Fax
(815) 381-7498
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-16-2006
Last Update Date
07-10-2026
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization		 License No. (State)
1207RR0500XAllopathic & Osteopathic Physicians

Internal Medicine
Rheumatology

 
2207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
3207XS0106XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Hand Surgery

 
4207XX0005XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Sports Medicine

 
5207XX0801XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Orthopaedic Trauma

 
6208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
7225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
82251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist
Orthopedic

 
9225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
10332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
11363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LESLIE ELMER CPCS

Authorized Official Title
MANGAER, CREDENTIALING AND RISK
Authorized Official Phone
(815) 381-7431

Reviews for ORTHOMIDWEST, PLLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

JACQUELYN MARIE ROGGENBUCK OTR
Occupational Therapist
324 ROXBURY ROAD
ROCKFORD, IL 61107
Winnebago County (815) 398-9491

Frequently Asked Questions

What is ORTHOMIDWEST, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1306880414, enumerated as an "organization" on June 16, 2006.

Where is the provider located?

The provider is located at 324 ROXBURY ROAD ROCKFORD, IL 61107 and the phone number is (815) 398-9491.

What is the provider's specialty?

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.