Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Orthotics & Prosthetics, Inc

Organization Prosthetic/Orthotic Supplier · NPI 1124399084

Northeast Orthotics & Prosthetics, Inc is a Prosthetic/Orthotic Supplier in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2012.

Licensed in
RI
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

765 Allens Ave Ste 250
Providence, RI 02905-5443
Phone: (401) 437-8016
Fax: (401) 437-8923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence CPO00018 (RI)
Prosthetic/Orthotic Supplier Taxonomy 335E00000X · Licence CO00011 (RI)

Record details

NPI number1124399084
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Marich — Owner · (401) 437-8016
NPI enumeratedJanuary 24, 2012
Last updated in NPPESNovember 9, 2012
Mailing address765 Allens Ave, Suite 250, Providence, RI 02905-5443

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