PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHEAST, LLC
NPI 1992175459
Prosthetic/Orthotic Supplier in Erie, PA

NPI Status: Active since September 28, 2015

Contact Information

1645 W 8TH ST
ERIE, PA
ZIP 16505
Phone: (814) 875-8700
Fax: (814) 875-8756

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHEAST, LLC

This page provides the complete NPI Profile along with additional information for Pediatric Orthotic And Prosthetic Services - Northeast, Llc, a provider established in Erie, Pennsylvania operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1992175459 assigned on September 2015. 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 Alex Betancourt (Manager)

NPI
1992175459
Provider Name
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHEAST, LLC
Entity Type
Organization
Location Address
1645 W 8TH ST ERIE, PA 16505
Location Phone
(814) 875-8700
Location Fax
(814) 875-8756
Mailing Address
PO BOX 947109 ATLANTA, GA 30394
Mailing Phone
(813) 367-2876
Mailing Fax
(814) 875-8756
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-28-2015
Last Update Date
04-23-2025
Code Navigator



Pediatric Orthotic And Prosthetic Services - Northeast, Llc is a medicare supplier with PTAN 20482313 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses.

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:

  • Bronze Classic 4700 - HMO
  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic - HMO
  • Gold Classic Standard - HMO
  • Gold Elite Saver Plus - HMO
  • Silver Classic Standard - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with Atrium Health - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with Atrium Health - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health - HMO
  • Bronze Simple Chronic Care CKM | with Atrium Health - HMO
  • Bronze Simple Diabetes | with Atrium Health - HMO
  • Gold Classic Standard - HMO
  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Simple - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Buena Salud Bronce Simple Para Diabetes - HMO
  • Gold Classic - HMO
  • Gold Classic Standard - HMO
  • Gold Simple - HMO
  • Gold Simple Diabetes - HMO
  • Bronze Classic - EPO
  • Bronze Classic | with Bryan Health - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic 4700 | MercyOne - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard - PPO
  • Bronze Classic Standard | MercyOne - EPO
  • Bronze Classic Standard | with Bryan Health - EPO
  • Bronze Elite + PCP Saver - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Classic PCP Saver | Cleveland Clinic - HMO
  • Bronze Classic Standard | Cleveland Clinic - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic - HMO
  • Bronze Simple Chronic Care CKM | Cleveland Clinic - HMO
  • Bronze Simple Diabetes | Cleveland Clinic - HMO
  • Bronze Simple HSA | Cleveland Clinic - HMO
  • Gold Classic Standard | Cleveland Clinic - HMO
  • Gold Elite | Cleveland Clinic - HMO
  • Gold Elite Saver Plus | Cleveland Clinic - HMO
  • Silver Classic Standard | Cleveland Clinic - 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

ALEX BETANCOURT

Authorized Official Title
MANAGER
Authorized Official Phone
(814) 875-8895

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20482313
Accepts Medicare Assignment
YES
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

Reviews for PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHEAST, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1992175459, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
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 1 → 2 5 → 10 → 1 5 → 10 → 1

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 + 2 + 7 + 1 + 0 + 4 + 1 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1992175459.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Special Hospital
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505
Occupational Therapist (Pediatrics)
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505
Occupational Therapist
1645 W 8TH ST
ERIE, PA 16505
Occupational Therapist (Pediatrics)
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505
Audiologist
1645 W 8TH ST, #200
ERIE, PA 16505
Audiologist
1645 W 8TH ST, #200
ERIE, PA 16505
Audiologist
1645 W 8TH ST, #200
ERIE, PA 16505
Occupational Therapist (Pediatrics)
1645 W 8TH ST
ERIE, PA 16505
Otolaryngology
1645 W 8TH ST, SUITE 200
ERIE, PA 16505
Audiologist
1645 W 8TH ST, #200
ERIE, PA 16505
Occupational Therapist
1645 W 8TH ST
ERIE, PA 16505
Speech-Language Pathologist
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992175459, enumerated as an "organization" on September 28, 2015.

The provider is located at 1645 W 8TH ST ERIE, PA 16505 and the phone number is (814) 875-8700.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Oscar Health Insurance, Oscar Health Maintenance. Please consult your insurance carrier or call the provider to verify.