PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - SOUTHEAST, LLC
NPI 1992075295
Prosthetic/Orthotic Supplier in Greenville, SC

Active since January 04, 2012
950 W FARIS RD, GREENVILLE, SC 29605(864) 255-7951(864) 255-8751 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 5, 2023, Mar 30, 2016 (2 updates tracked since 2016).

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 1992075295) is a healthcare organization registered as a prosthetic/orthotic supplier in Greenville, South Carolina and active in the NPI registry since January 2012. The organization lists Frank Caruso, Manager, as its authorized official.

NPPES Registry Identity

NPI1992075295
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - SOUTHEAST, LLC
Location Address950 W FARIS RDGreenville, SC 29605-4255
Mailing AddressPo Box 947109Atlanta, GA 30394-7109 · (864) 255-8761 · Fax (864) 255-8751
Fax(864) 255-8751
Organization SubpartYesParent: Shriners Hosptials For Children
Authorized OfficialFrank CarusoManager · (864) 255-8761
Enumeration DateJanuary 4, 2012
Last NPPES UpdateApril 23, 20252 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
NPI 1992075295 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.
950 W FARIS RD, Greenville, SC 29605

Accepted 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 · Greenville, SCOperated by Pediatric Orthotic And Prosthetic Services - Southeast, LLC

Does not accept Medicare assignment

Pediatric Orthotic And Prosthetic S 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)20477879
Medicare Participant SinceJune 9, 2016
Supplier Location950 W Faris RdGreenville, SC 29605
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.

Physician Assistant
950 W FARIS RD
GREENVILLE, SC 29605
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
950 W FARIS RD
GREENVILLE, SC 29605
Prosthetist
950 W FARIS RD
GREENVILLE, SC 29605
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
950 W FARIS RD
GREENVILLE, SC 29605
Physician Assistant
950 W FARIS RD
GREENVILLE, SC 29605
Physician Assistant (Surgical)
950 W FARIS RD
GREENVILLE, SC 29605
General Acute Care Hospital (Children)
950 W FARIS RD
GREENVILLE, SC 29605
Physical Therapist
950 W FARIS RD
GREENVILLE, SC 29605

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 1992075295. It was assigned to this organization in the NPPES registry on January 4, 2012.

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

Pediatric Orthotic And Prosthetic Services - Southeast, LLC is located at 950 W Faris Rd, Greenville, SC 29605. The listed phone number is (864) 255-7951.

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 S 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 from Absolute Total Care, Ambetter of North Carolina and AmeriHealth Caritas Next 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 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.