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

NPI Status: Active since January 04, 2012

Contact Information

950 W FARIS RD
GREENVILLE, SC
ZIP 29605
Phone: (864) 255-7951
Fax: (864) 255-8751

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Accepts Insurance
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - SOUTHEAST, LLC

This page provides the complete NPI Profile along with additional information for Pediatric Orthotic And Prosthetic Services - Southeast, Llc, a provider established in Greenville, South Carolina operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1992075295 assigned on January 2012. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Frank Caruso (Manager)

NPI
1992075295
Provider Name
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - SOUTHEAST, LLC
Entity Type
Organization
Location Address
950 W FARIS RD GREENVILLE, SC 29605
Location Phone
(864) 255-7951
Location Fax
(864) 255-8751
Mailing Address
PO BOX 947109 ATLANTA, GA 30394
Mailing Phone
(864) 255-8761
Mailing Fax
(864) 255-8751
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-04-2012
Last Update Date
04-23-2025
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Pediatric Orthotic And Prosthetic Services - Southeast, Llc is a medicare supplier with PTAN 20477879 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Signature + No Referrals - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. FRANK CARUSO

Authorized Official Title
MANAGER
Authorized Official Phone
(864) 255-8761

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20477879
Accepts Medicare Assignment
NO
Specialities List
MSC With Orthotic Personnel, MSC With Prosthetic Personnel, MSC With Orthotic-Prosthetic, Orthotic Personnel, Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • 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
  • Lymphedema Compression Treatment Items -

Reviews for PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - SOUTHEAST, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992075295, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 0 + 7 + 1 + 0 + 2 + 1 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1992075295.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Orthopaedic Surgery
950 W FARIS RD
GREENVILLE, SC 29605
Anesthesiology
950 W FARIS RD
GREENVILLE, SC 29605
Orthopaedic Surgery
950 W FARIS RD
GREENVILLE, SC 29605
Clinical Nurse Specialist
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
Nurse Practitioner (Family)
950 W FARIS RD
GREENVILLE, SC 29605
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
950 W FARIS RD
GREENVILLE, SC 29605
Physical Therapist
950 W FARIS RD
GREENVILLE, SC 29605
General Acute Care Hospital (Children)
950 W FARIS RD
GREENVILLE, SC 29605
Orthopaedic Surgery
950 W FARIS RD
GREENVILLE, SC 29605
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
950 W FARIS RD
GREENVILLE, SC 29605
Orthopaedic Surgery
950 W FARIS RD
GREENVILLE, SC 29605
Physician Assistant
950 W FARIS RD
GREENVILLE, SC 29605
Physician Assistant
950 W FARIS RD
GREENVILLE, SC 29605
Prosthetist
950 W FARIS RD
GREENVILLE, SC 29605
Prosthetist
950 W FARIS RD
GREENVILLE, SC 29605
Orthotist
950 W FARIS RD
GREENVILLE, SC 29605
Orthotist
950 W FARIS RD
GREENVILLE, SC 29605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992075295, enumerated as an "organization" on January 04, 2012.

The provider is located at 950 W FARIS RD GREENVILLE, SC 29605 and the phone number is (864) 255-7951.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.