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

Pediatric Orthotic and Prosthetic Services - Midwest, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1154721785

Pediatric Orthotic and Prosthetic Services - Midwest, LLC is a Prosthetic/Orthotic Supplier in Woodbury, Minnesota. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

215 Radio Dr Ste 100
Woodbury, MN 55125-5817
Phone: (612) 593-6205
Fax: (612) 335-5396
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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

Record details

NPI number1154721785
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPediatric Orthotic and Prosthetic Services - Midwest, LLC
Authorized official Jeffrey Bruce — Manager · (612) 596-6205
NPI enumeratedSeptember 2, 2014
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing addressPo Box 947109, Atlanta, GA 30394-7109

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