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PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- NORTHEAST, LLC
NPI 1336537042
Prosthetic/Orthotic Supplier in Philadelphia, PA

Active since January 05, 2015
3551 N BROAD ST, PHILADELPHIA, PA 19140(215) 430-4000(215) 430-4027 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Orthotic And Prosthetic Services- Northeast, Llc NPPES

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

PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- NORTHEAST, LLC (NPI 1336537042) is a healthcare organization registered as a prosthetic/orthotic supplier in Philadelphia, Pennsylvania and active in the NPI registry since January 2015. The organization lists Calli Clark, Director Of Orthotics & Prosthetics, as its authorized official.

NPPES Registry Identity

NPI1336537042
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- NORTHEAST, LLC
Location Address3551 N BROAD STPhiladelphia, PA 19140
Mailing AddressPo Box 947109Atlanta, GA 30394-7109 · (813) 367-2876 · Fax (813) 518-7659
Phone(215) 430-4000
Fax(215) 430-4027
Organization SubpartYes
Authorized OfficialCalli ClarkDirector Of Orthotics & Prosthetics · (215) 430-4096
Enumeration DateJanuary 5, 2015
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1336537042 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.
3551 N BROAD ST, Philadelphia, PA 19140
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EUGENE PARK M.D.
Plastic Surgery (Surgery of the Hand)
3551 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 430-4000
MELODEE AREVALO MENDOZA CRNP
Nurse Practitioner (Family)
3551 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 430-4000
SHRINERS HOSPITALS FOR CHILDREN
Anesthesiology
3551 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 430-4000
DR. MARIA BELEN DE JOSE MARIA GALVE MD
Anesthesiology
3551 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 430-4022
EMILY STANKOSKI MSPAS, PA-C
Physician Assistant
3551 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 430-4000
KELLY CARBONE
Nurse Practitioner (Pediatrics)
3551 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 430-4022
SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA
Special Hospital
3551 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 430-4160
ELLEN KLIGERMAN WATERS CRNP
Nurse Practitioner (Pediatrics)
3551 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 430-4000

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 Pediatric Orthotic And Prosthetic Services- Northeast, LLC's NPI number?

The NPI number for Pediatric Orthotic And Prosthetic Services- Northeast, LLC is 1336537042. It was assigned to this organization in the NPPES registry on January 5, 2015.

Where is Pediatric Orthotic And Prosthetic Services- Northeast, LLC located?

Pediatric Orthotic And Prosthetic Services- Northeast, LLC is located at 3551 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 430-4000.

What is Pediatric Orthotic And Prosthetic Services- Northeast, LLC's specialty?

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

What insurance does Pediatric Orthotic And Prosthetic Services- Northeast, LLC accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Pediatric Orthotic And Prosthetic Services- Northeast, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Orthotic And Prosthetic Services- Northeast, LLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.