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PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-NORTHEAST,LLC
NPI 1902208945
Prosthetic/Orthotic Supplier in Springfield, MA

Active since September 22, 2014
516 CAREW ST, SPRINGFIELD, MA 01104(413) 735-1223(413) 735-1214 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 1902208945) is a healthcare organization registered as a prosthetic/orthotic supplier in Springfield, Massachusetts and active in the NPI registry since September 2014. The organization lists Brock Mcconkey, Manager, as its authorized official.

NPPES Registry Identity

NPI1902208945
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-NORTHEAST,LLC
Location Address516 CAREW STSpringfield, MA 01104-2330
Mailing AddressPo Box 947109Atlanta, GA 30394-7109 · (813) 367-2876 · Fax (813) 518-7659
Phone(413) 735-1223
Fax(413) 735-1214
Organization SubpartNo
Authorized OfficialBrock McconkeyManager · (413) 735-1223
Enumeration DateSeptember 22, 2014
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1902208945 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.
516 CAREW ST, Springfield, MA 01104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 7

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

Pediatric Orthotic And Prosthetic S

DMEPOS supplier · Springfield, MAOperated by Pediatric Orthotic And Prosthetic Services - Northeast, LLC
✔

Accepts Medicare assignment

Pediatric Orthotic And Prosthetic S 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)20482301
Medicare Participant SinceSeptember 8, 2015
Supplier Location516 Carew StSpringfield, MA 01104
Phone(413) 735-1223
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.

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.

ADAM J IWANSKI PA
Physician Assistant
516 CAREW ST
SPRINGFIELD, MA 01104
Hampden County (413) 787-2027
SHRINERS HOSPITALS FOR CHILDREN
Clinic/Center (Rehabilitation)
516 CAREW ST
SPRINGFIELD, MA 01104
Hampden County (413) 787-2000
DR. NATALIA CHMIELENKO OTD
Occupational Therapist
516 CAREW ST
SPRINGFIELD, MA 01104
Hampden County (413) 787-2000
RUBINI PATHY MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
516 CAREW ST
SPRINGFIELD, MA 01104
Hampden County (413) 787-2027
MARGARET BIALECKI OTR/L
Occupational Therapist
516 CAREW ST
SPRINGFIELD, MA 01104
Hampden County (413) 735-1360
RACHAEL MARIE BLOXSOM
Physician Assistant
516 CAREW ST
SPRINGFIELD, MA 01104
Hampden County (413) 787-2000
DR. DAVID MERLE DRVARIC MD
Orthopaedic Surgery
516 CAREW ST
SPRINGFIELD, MA 01104
Hampden County (813) 281-8478
MRS. TAMMY L SEARS-LANGEVIN APRN,NNP-BC,CPNP
Nurse Practitioner (Primary Care)
516 CAREW ST
SPRINGFIELD, MA 01104
Hampden County (413) 787-2306

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 1902208945. It was assigned to this organization in the NPPES registry on September 22, 2014.

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

Pediatric Orthotic And Prosthetic Services-Northeast,llc is located at 516 Carew St, Springfield, MA 01104. The listed phone number is (413) 735-1223.

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.

Does Pediatric Orthotic And Prosthetic Services-Northeast,llc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Pediatric Orthotic And Prosthetic S accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers 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.