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PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - SOUTHEAST, LLC
NPI 1386929347
Prosthetic/Orthotic Supplier in Tampa, FL

Active since October 20, 2011
15511 N FLORIDA AVE STE 102, TAMPA, FL 33613(813) 975-7139(813) 631-7160 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Orthotic And Prosthetic Services - Southeast, Llc NPPES

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

PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - SOUTHEAST, LLC (NPI 1386929347) is a healthcare organization registered as a prosthetic/orthotic supplier in Tampa, Florida and active in the NPI registry since October 2011. The organization lists Joanne Kanas, Executive Director O&p, as its authorized official.

NPPES Registry Identity

NPI1386929347
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - SOUTHEAST, LLC
Location Address15511 N FLORIDA AVE STE 102Tampa, FL 33613-1263
Mailing AddressPo Box 947109Atlanta, GA 30394-7109 · (813) 367-2876 · Fax (813) 518-7659
Phone(813) 975-7139
Fax(813) 631-7160
Organization SubpartYes
Authorized OfficialJoanne KanasExecutive Director O&p · (813) 975-7139
Enumeration DateOctober 20, 2011
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1386929347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in FL · 4184
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.
15511 N FLORIDA AVE STE 102, Tampa, FL 33613
Open in Google Maps ↗

Other Identifiers 1

Medicaid004604300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 7

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

Pediatric Orthotic And Prosthetic

DMEPOS supplier · Tampa, FLOperated by Pediatric Orthotic And Prosthetic Services - Southeast, LLC
⋮

Does not accept Medicare assignment

Pediatric Orthotic And Prosthetic 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)20477885
Medicare Participant SinceJune 9, 2016
Supplier Location12502 Usf Pine DrTampa, FL 33612
Phone(813) 975-7139
Supplier Specialties
MSC With Orthotic Personnel MSC With Prosthetic Personnel MSC With Orthotic-Prosthetic 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 Pediatric Orthotic And Prosthetic Services - Southeast, LLC's NPI number?

The NPI number for Pediatric Orthotic And Prosthetic Services - Southeast, LLC is 1386929347. It was assigned to this organization in the NPPES registry on October 20, 2011.

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

Pediatric Orthotic And Prosthetic Services - Southeast, LLC is located at 15511 N Florida Ave Ste 102, Tampa, FL 33613. The listed phone number is (813) 975-7139.

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

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

Does Pediatric Orthotic And Prosthetic Services - Southeast, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Pediatric Orthotic And Prosthetic 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.

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

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and UnitedHealthcare list Pediatric Orthotic And Prosthetic Services - Southeast, 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 - Southeast, LLC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.