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PROSTHETIC ORTHOTIC SPECIALIST INC
NPI 1710118864
Prosthetic/Orthotic Supplier in Decatur, IL

Active since August 06, 2009
3030 N WOODFORD ST, DECATUR, IL 62526(217) 872-6150(217) 872-6152 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prosthetic Orthotic Specialist Inc NPPES

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

PROSTHETIC ORTHOTIC SPECIALIST INC (NPI 1710118864) is a healthcare organization registered as a prosthetic/orthotic supplier in Decatur, Illinois and active in the NPI registry since August 2009. The organization lists Donald Goertzen, President, as its authorized official.

NPPES Registry Identity

NPI1710118864
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePROSTHETIC ORTHOTIC SPECIALIST INC
Location Address3030 N WOODFORD STDecatur, IL 62526
Mailing Address741 W Main StPeoria, IL 61606-1953 · (800) 334-5705 · Fax (888) 663-6322
Phone(217) 872-6150
Fax(217) 872-6152
Organization SubpartYes
Authorized OfficialDonald GoertzenPresident · (309) 676-2276
Enumeration DateAugust 6, 2009
Last NPPES UpdateJuly 30, 2018
✔ NPI 1710118864 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.

3030 N WOODFORD ST, Decatur, IL 62526
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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 Prosthetic Orthotic Specialist Inc's NPI number?

The NPI number for Prosthetic Orthotic Specialist Inc is 1710118864. It was assigned to this organization in the NPPES registry on August 6, 2009.

Where is Prosthetic Orthotic Specialist Inc located?

Prosthetic Orthotic Specialist Inc is located at 3030 N Woodford St, Decatur, IL 62526. The listed phone number is (217) 872-6150.

What is Prosthetic Orthotic Specialist 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 Prosthetic Orthotic Specialist Inc was last updated on July 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.