PROSTHETIC ORTHOTIC SPECIALIST INC
NPI 1851389449
Prosthetic/Orthotic Supplier in Peoria, IL

Q: What is Prosthetic Orthotic Specialist Inc's NPI number?

The NPI number for Prosthetic Orthotic Specialist Inc is 1851389449. It was assigned to this organization in the NPPES registry on October 9, 2005.

Q: What is Prosthetic Orthotic Specialist Inc's specialty?

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

Active since October 09, 2005

701 NE JEFFERSON AVE, PEORIA, IL 61603(309) 688-9549(309) 676-0486 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Prosthetic Orthotic Specialist Inc NPPES

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

PROSTHETIC ORTHOTIC SPECIALIST INC (NPI 1851389449) is a healthcare organization registered as a prosthetic/orthotic supplier in Peoria, Illinois and active in the NPI registry since October 2005. The organization lists Donald Goertzen, President, as its authorized official.

NPPES Registry Identity

NPI1851389449

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NamePROSTHETIC ORTHOTIC SPECIALIST INC

Location Address701 NE JEFFERSON AVEPeoria, IL 61603

Mailing Address741 W Main StPeoria, IL 61606-1953 · (309) 676-2276 · Fax (309) 676-0486

Phone(309) 688-9549

Fax(309) 676-0486

Organization SubpartNo

Authorized OfficialDonald GoertzenPresident · (309) 676-2276

Enumeration DateOctober 9, 2005

Last NPPES UpdateJuly 30, 2018

✔ NPI 1851389449 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.

701 NE JEFFERSON AVE, Peoria, IL 61603

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Other Identifiers 2

Other05770602IL · Blue Cross Blue Shield

Medicaid=========002IL

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 1851389449. It was assigned to this organization in the NPPES registry on October 9, 2005.

Where is Prosthetic Orthotic Specialist Inc located?

Prosthetic Orthotic Specialist Inc is located at 701 NE Jefferson Ave, Peoria, IL 61603. The listed phone number is (309) 688-9549.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.