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

Q: 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.

Active since September 28, 2015

1645 W 8TH ST, ERIE, PA 16505(814) 875-8700(814) 875-8756 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2023, Sep 28, 2015 (2 updates tracked since 2015).

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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 1992175459) is a healthcare organization registered as a prosthetic/orthotic supplier in Erie, Pennsylvania and active in the NPI registry since September 2015. The organization lists Alex Betancourt, Manager, as its authorized official.

NPPES Registry Identity

NPI1992175459

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NamePEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHEAST, LLC

Location Address1645 W 8TH STErie, PA 16505-5007

Mailing AddressPo Box 947109Atlanta, GA 30394-7109 · (813) 367-2876 · Fax (813) 518-7659

Phone(814) 875-8700

Fax(814) 875-8756

Organization SubpartYes

Authorized OfficialAlex BetancourtManager · (814) 875-8895

Enumeration DateSeptember 28, 2015

Last NPPES UpdateApril 23, 20252 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1992175459 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.

1645 W 8TH ST, Erie, PA 16505

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Pediatric O&p Services - Erie carries, from the Medicare DMEPOS supplier directory.

Pediatric O&p Services - Erie

DMEPOS supplier · Erie, PAOperated by Pediatric Orthotic And Prosthetic Services - Northeast, LLC

✔

Accepts Medicare assignment

Pediatric O&p Services - Erie 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)20482313

Medicare Participant SinceSeptember 8, 2015

Supplier Location1645 W 8th StErie, PA 16505

Phone(814) 875-8895

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

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.

ELIZABETH MEIGHEN PT, DPT

Physical Therapist

1645 W 8TH ST
ERIE, PA 16505

Erie County (814) 875-8700

ELIZABETH DE LEON SOTO MS, OTR/L

Occupational Therapist

1645 W 8TH ST
ERIE, PA 16505

Erie County (814) 875-8700

DR. JACK BRYANT ANON M.D.

Otolaryngology (Otolaryngic Allergy)

1645 W 8TH ST
ERIE, PA 16505

Erie County (814) 864-9994

DR. STEPHEN EUGENE SCHELL M.D.

Otolaryngology (Facial Plastic Surgery)

1645 W 8TH ST
ERIE, PA 16505

Erie County (814) 864-9994

SAMANTHA ERIN WALKER

Physical Therapist

1645 W 8TH ST
ERIE, PA 16505

Erie County (814) 875-8752

SHRINERS HOSPITALS FOR CHILDREN

Clinic/Center (Rehabilitation)

1645 W 8TH ST
ERIE, PA 16505

Erie County (814) 875-8700

SARAH ANN STEEB PT, DPT

Physical Therapist

1645 W 8TH ST
ERIE, PA 16505

Erie County (814) 875-8700

EAR NOSE AND THROAT SPECIALISTS OF NORTHWESTERN PENNSYLVANIA

Otolaryngology

1645 W 8TH ST, SUITE 200
ERIE, PA 16505

Erie County (814) 864-9994

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 1992175459. It was assigned to this organization in the NPPES registry on September 28, 2015.

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

Pediatric Orthotic And Prosthetic Services - Northeast, LLC is located at 1645 W 8th St, Erie, PA 16505. The listed phone number is (814) 875-8700.

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 O&p Services - Erie 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 Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer 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.