PROSTHETIX SHOP LLC
NPI 1811638208
Prosthetic/Orthotic Supplier in Urbancrest, OH

Active since April 07, 2022
2853 BROADWAY, URBANCREST, OH 43123(614) 500-4215(614) 500-4215 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2026, Apr 20, 2022, Apr 7, 2022 (3 updates tracked since 2022).

About Prosthetix Shop Llc NPPES

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

PROSTHETIX SHOP LLC (NPI 1811638208) is a healthcare organization registered as a prosthetic/orthotic supplier in Urbancrest, Ohio and active in the NPI registry since April 2022. The organization lists Concetta Elizabeth Bishop, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1811638208
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePROSTHETIX SHOP LLC
Location Address2853 BROADWAYUrbancrest, OH 43123-1400
Mailing Address2853 BroadwayUrbancrest, OH 43123-1400 · (614) 500-4215 · Fax (614) 500-4215
Fax(614) 500-4215
Organization SubpartNo
Authorized OfficialConcetta Elizabeth BishopOffice Manager · (513) 843-5126
Enumeration DateApril 7, 2022
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1811638208 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.
2853 BROADWAY, Urbancrest, OH 43123

Other Names 1

Doing Business AsProsthetix Shop Llc

Other Identifiers 1

Medicaid0081405OH

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Prosthetix Shop LLC carries, from the Medicare DMEPOS supplier directory.

Prosthetix Shop LLC

DMEPOS supplier · Urbancrest, OH

Accepts Medicare assignment

Prosthetix Shop LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20486387
Medicare Participant SinceJanuary 1, 2015
Supplier Location2853 BroadwayUrbancrest, OH 43123
Supplier Specialties
Prosthetic Personnel

Medicare Product Categories

Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

Prosthetist
2853 BROADWAY
URBANCREST, OH 43123

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 Prosthetix Shop LLC's NPI number?

The NPI number for Prosthetix Shop LLC is 1811638208. It was assigned to this organization in the NPPES registry on April 7, 2022.

Where is Prosthetix Shop LLC located?

Prosthetix Shop LLC is located at 2853 Broadway, Urbancrest, OH 43123. The listed phone number is (614) 500-4215.

What is Prosthetix Shop LLC's specialty?

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

Does Prosthetix Shop LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Prosthetix Shop LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Prosthetix Shop LLC was last updated on May 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.